{"id":8895,"date":"2026-05-29T19:03:04","date_gmt":"2026-05-29T19:03:04","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8895"},"modified":"2026-05-29T19:03:04","modified_gmt":"2026-05-29T19:03:04","slug":"payment-policy-updates-june-2026","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-june-2026\/","title":{"rendered":"Payment Policy Updates (June 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 payment policies have been updated:<\/p>\n

 <\/p>\n\n\n\n\n\n\n\n\n\n\n\n
Payment Policy Revisions <\/strong><\/td>\n Effective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Cardiac Services (PP065POL) \u2013 NEW<\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • New Policy \u2013 Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Diagnostic Radiology (PP032POL) – NEW<\/td>\nAugust 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • New Policy \u2013 Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Inpatient Hospital Services (PP017POL)<\/p>\n

60-Day Notification<\/td>\n

August 2026<\/td>\n\n
    \n
  • \u00b7Medicaid LOB<\/li>\n
  • Aligned Medicaid requirement to match Medicare 3-day payment<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Administrative Necessary Days (PP046POL)<\/td>\nJune 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Aligned language to strengthen Policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Counseling and\/or Risk Factor Reduction (PP042POL)<\/td>\nJune 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Aligned language to strengthen Policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Diabetes Care (PP025POL)<\/p>\n

Formerly \u201cDiabetic Care\u201d<\/td>\n

June 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review<\/li>\n
  • Aligned title and authorization requirements<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Mid-Level Practitioners (PP026POL)<\/td>\nJune 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review<\/li>\n
  • Aligned language for clearer coding requirements<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Unlisted Procedures (PP013POL)<\/td>\nJune 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Aligned language to strengthen Policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\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-8895","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-2jt","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8895","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=8895"}],"version-history":[{"count":3,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8895\/revisions"}],"predecessor-version":[{"id":8898,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8895\/revisions\/8898"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8895"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8895"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}