Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Plan Selection Periods and Fixed Enrollment Periods for MassHealth members: Effective October 1, 2016, MassHealth began implementing respective Plan Selection Periods and Fixed Enrollment Periods for members enrolled in MCOs […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Primary care providers (PCPs) who administer Behavioral Health Screenings for children under age 21: For dates of service beginning October 31, 2016, MassHealth is instructing PCPs to use only Service […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Hearing aid/audiology providers or PCPs who refer Health New England Medicare members for hearing aid services: Health New England has partnered with TruHearing, a national hearing aid provider, to develop […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Small Group Pediatric Vision coverage through EyeMed: As a result of changes in the Massachusetts Essential Health Benefits (EHB) Benchmark Plan, we are informing you of a Pediatric Vision (under […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. As part of our commitment to provide affordable access to high quality health care, Health New England continually reviews the benefits and services offered to our members. As a result, […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Health New England will not pay for FluMist (LAIV4) for the 2016-2017 flu season (CPT code 90672), per CDC and MDPH recommendations: You may have seen the notice from the […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Pneumococcal vaccine recommendations for aging adults: It’s recommended that adults ages 65 and older get both the pneumococcal polysaccharide vaccine (PPSV23) and pneumococcal conjugate vaccine (PCV13). Timing of the vaccines: […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Health New England’s 2017 formularies are now available on healthnewengland.org: The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Magellan additional/new codes requiring authorization: Effective January 1, 2017, the drugs listed below will require authorization through Magellan RX Management. Please remember, all urgent requests for authorization can be requested […]
Posted on October 18, 2016
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Correction to Anesthesia Payment Policy specific to the AD modifier: On an annual basis, Health New England conducts various auditing and monitoring activities to fulfill our responsibility to our provider […]