Programs & Policies
Posted on November 23, 2015
Care Management Program
You can refer Health New England members with complex care needs to our Integrated Care Management (ICM) Program. Members will have the opportunity to interact directly with a Registered Nurse who will work with the member to improve specific health related goals. Available programs include but are not limited to: Diabetes, Asthma, Coronary Heart Disease, and High Risk Maternity. The Integrated Care case managers provide members with one direct contact at HNE for medical concerns; this design allows them to build trusting relationships with HNE members and treating providers. For more information, visit hne.com/health or call (800) 842-4464.
Medical Guidelines and Medical Policies
For up-to-date clinical guidelines and policies, please visit hne.com/Health/MHQP.
Quality Management Program
HNE has a written Quality Management Program Description. This document provides detailed information about the program and contains the annual work plan, or schedule of events. It also explains how the program is evaluated. For a copy of this information, please contact Pat Scheer, HNE’s Director of Quality Operations at (413) 233-3435.
Member Rights and Responsibilities
HNE members have specific rights and responsibilities that form the basis of quality health care. HNE’s statements of Member Rights and Responsibilities are included in HNE’s Provider Manual, available online at hne.com/HNE_Providers/ProviderManual.
