Provider Directory Updates
Posted on August 21, 2026
Attention Providers and Practice Managers:
Accurate provider directories are critical to helping our members make educated decisions about their plan choices, selecting providers, and accessing care. Health New England (HNE) offers an online directory for all products, and hard copies of each directory are available upon request.
Based on regulatory requirements, providers are obligated to verify their provider directory information at least once every 90 days. To support the Centers for Medicare & Medicaid Services (CMS), MassHealth, Division of Insurance (DOI), National Committee for Quality Assurance (NCQA), and provisions of the Affordable Care Act (ACA), requirements stating that health plans engage providers in reviewing and maintaining up-to-date provider directory information, we reach out to our in-network providers on a quarterly basis to validate information. Failure by providers to verify and attest to current and accurate provider directory information may trigger the removal of the provider or facility from the HNE provider directories and online search results.
To assist us in this endeavor, please review the information that HNE has published for you in our Provider Search. We are asking for validation of at least the following information:
- specialty
- group name
- address
- phone number
- office hours
- availability to accept new patients
If any of the information that is published is inaccurate, please communicate any updates to HNE using one of the following ways:
- Visit our Forms page, click on the Provider tab, then Most Used and choose the Provider Information Change Form.
- Email our Provider Data Management team directly at penrollment@hne.com.
- Log into HNEDirect. Once logged in, click the last tab on the main page titled ‘Change Provider Info.’
- Validate and update provider directory data in DataSpring, CAQH Provider Data Portal for distribution to HNE.
HNE uses DataSpring, powered by Council for Affordable Quality Healthcare (CAQH) as a source for validation of provider directory data. Please log into DataSpring, CAQH Provider Data Portal (https://proview.caqh.org/Login/Index) and validate at least the following information: specialty, group name, address, phone number, office hours, and availability to accept new patients. Once you have validated your provider directory data, please attest to the accuracy of this information in DataSpring, CAQH Provider Data Portal.
Additionally, when reviewing your information please verify that the email address in DataSpring, CAQH Provider Data Portal is correct, as HNE will utilize this email address to follow-up and notify you of any changes made to your provider directory data. You must attest to your provider directory data every 90 days, at a minimum. Attestation of your data through DataSpring, CAQH Provider Data Portal will avoid phone calls to your office and help patients find you and schedule appointments.
For more information about the provider directory initiative through DataSpring, CAQH Provider Data Portal, including a brief demonstration video regarding how the system works, you may visit HCAS at https://www.hcasma.org/Directory.htm or DataSpring, CAQH Provider Data Portal at https://proview.caqh.org/Login/.
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