{"id":8970,"date":"2026-08-26T19:28:55","date_gmt":"2026-08-26T19:28:55","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8970"},"modified":"2026-08-28T12:15:51","modified_gmt":"2026-08-28T12:15:51","slug":"payment-policy-updates-9-26","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-9-26\/","title":{"rendered":"Payment Policy Updates (September 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><\/strong>.<\/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
Payment Policy Updates<\/strong><\/td>\nEffective Date<\/strong><\/td>\nNotes<\/strong><\/td>\n<\/tr>\n
Allergy Testing<\/strong>
\n(PP051POL) \u2013 REVIEWED<\/strong><\/td>\n		November 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language with regards to the limitations of units paid, strengthening the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Routine Supplies and Equipment (PP046POL) \u2013 REVIEWED<\/strong><\/td>\nNovember 2026<\/td>\n\n
    \n
  • Commercial and Medicare Only<\/li>\n
  • Annual Review \u2013 Aligned Industry HCPCS codes to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Discard Drugs and Biologicals (PP016POL) \u2013 REVIEWED<\/strong><\/td>\nSeptember 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Emergency Department Services (PP038POL) \u2013 REVIEWED<\/strong><\/td>\nSeptember 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Hospice Services<\/strong>
\n(PP018POL) \u2013 REVIEWED<\/strong><\/td>\n		September 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Long-Term Acute Care<\/strong>
\n(PP050POL) \u2013 REVIEWED<\/strong><\/td>\n		September 2026<\/td>\n\n
    \n
  • All Lines of Business<\/li>\n
  • Annual Review \u2013 Aligned language to strengthen the policy<\/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-8970","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-2kG","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8970","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=8970"}],"version-history":[{"count":4,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8970\/revisions"}],"predecessor-version":[{"id":8976,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8970\/revisions\/8976"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8970"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8970"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}