{"id":8868,"date":"2026-03-31T15:37:05","date_gmt":"2026-03-31T15:37:05","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8868"},"modified":"2026-03-31T15:37:05","modified_gmt":"2026-03-31T15:37:05","slug":"payment-policy-updates-april-2026","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-april-2026\/","title":{"rendered":"Payment Policy Updates (April 2026)"},"content":{"rendered":"

Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit\u202fhealthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n

If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.<\/p>\n

The following policies were reviewed and updated:<\/strong><\/em><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Updates<\/strong><\/td>\n\u00a0Effective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Payment Policy<\/strong><\/td>\n\u00a0<\/strong><\/td>\n<\/td>\n<\/tr>\n
Anesthesia Services<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • All lines of business<\/li>\n
  • Annual Review<\/li>\n
  • Additional language for pain management services added<\/li>\n<\/ul>\n

     <\/td>\n<\/tr>\n

Drug Testing<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Aligned language for clearer coding requirements<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Outpatient Rehabilitative<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • No changes<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Skilled Home Health<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Additional limitations added<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Telehealth Services<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Updated distant site requirements<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Timely Filing Limit<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Aligned language for COB Medicare<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Treatment Room<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Aligned language for Revenue Code 0761<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Urgent, Extended Care & Walk-In Care<\/td>\n04\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Aligned language for credentialing<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Inpatient Hospital Services<\/td>\n06\/01\/2026<\/td>\n\n
    \n
  • Annual Review<\/li>\n
  • Changed language requirement for Medicare 3-day payment<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

    Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit\u202fhealthnewengland.org\/Providers\/Resources. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, […]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8868","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2j2","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8868"}],"version-history":[{"count":3,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8868\/revisions"}],"predecessor-version":[{"id":8871,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8868\/revisions\/8871"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8868"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}