{"id":8922,"date":"2026-06-29T18:52:39","date_gmt":"2026-06-29T18:52:39","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8922"},"modified":"2026-06-29T18:52:39","modified_gmt":"2026-06-29T18:52:39","slug":"payment-policy-updates-july-2026","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-july-2026\/","title":{"rendered":"Payment Policy Updates (July 2026)"},"content":{"rendered":"<p>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\u202f<a href=\"https:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n<p>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<p>The following payment policies have been updated:<\/p>\n<table style=\"height: 703px;\" width=\"883\">\n<tbody>\n<tr>\n<td width=\"204\"><strong>Payment Policy Updates<\/strong><\/td>\n<td width=\"120\"><strong>\u00a0Effective Date<\/strong><\/td>\n<td width=\"414\"><strong>Notes<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Once in a Lifetime Procedure (PP067POL) \u2013 NEW<\/td>\n<td width=\"120\">September 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>New Policy \u2013 Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Skin Substitutes (PP068POL) \u2013 NEW<\/td>\n<td width=\"120\">September 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>New Policy \u2013 Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Wound Care and Surgical Debridement (PP069POL) \u2013 NEW<\/td>\n<td width=\"120\">September 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>New Policy \u2013 Outlines what we do today and strengthening our Payment Policy Portfolio<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Laboratory Professional Services (PP041POL)<\/td>\n<td width=\"120\">September 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>Updated venipuncture language<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Readmission to Inpatient Level of Care (PP007POL)<\/td>\n<td width=\"120\">September 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>Aligned billing language to strengthen Policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Transportation Services (PP028POL)<\/td>\n<td width=\"120\">July 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>All Lines of Business<\/li>\n<li>Annual Review, aligned language to strengthen policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"204\">Individual Consideration Services (PP037POL)<\/td>\n<td width=\"120\">July 2026<\/td>\n<td width=\"414\">\n<ul>\n<li>Medicaid Line of Business<\/li>\n<li>Annual Review, aligned approval date<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>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, [&hellip;]<\/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-8922","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-2jU","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8922","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=8922"}],"version-history":[{"count":4,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8922\/revisions"}],"predecessor-version":[{"id":8934,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8922\/revisions\/8934"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8922"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}