Category Archives: Provider Newsletter

Prescription Drug Coverage Changes — Effective January 1, 2027

Posted on September 30, 2026

Commercial Line of Business For Commercial Health New England plan members, this Semi-Annual Notice Amendment document addresses Prescription Drug Coverage changes to Step Therapy Drugs, Tiers, Quantity Limits, Prior Authorizations and Covered Formulary Alternatives, effective January 1, 2027.   See notice at: http://hnetalk.com/provider/wp-content/uploads/2026/09/Commercial-FF-Member-Rx-Coverage-Changes_effective1-1-2027.pdf

No Comments
Read More

Payment Policy Updates (September 2026)

Posted on August 26, 2026

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 healthnewengland.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, […]

No Comments
Read More

Annual Provider Surveys – Your Participation Matters

Posted on August 26, 2026

Attention Providers and Practice Managers: Health New England is conducting our annual Press Ganey Provider Satisfaction Survey and Provider Access & Availability Survey in support of our ongoing quality improvement efforts and NCQA accreditation. The surveys help us better understand provider experiences and evaluate access to care across our network. The surveys will be conducted […]

No Comments
Read More

Provider Directory Updates

Posted on August 21, 2026

Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices, selecting providers, and accessing care. Health New England (HNE) offers an online directory for all products, and hard copies of each directory are available upon request. Based on regulatory requirements, providers are obligated to […]

No Comments
Read More

MassHealth All Provider Bulletin 417: Updates to Managed Care Enrollment Rules

Posted on July 30, 2026

Health New England was recently informed by MassHealth of some changes to managed care enrollment rules. Please see the All-Provider Bulletin (APB) 417 for more information. Additionally, the member notices mailed in July 2026 are linked here for reference: 7/31/26 Disenrollment Letter Sample 11/30/26 Disenrollment Letter Sample   MassHealth members currently enrolled in our BeHealthy […]

No Comments
Read More

Reminder for Diabetic Eye Exams for Medicare Members

Posted on July 30, 2026

Attention Providers and Practice Managers: We are looking for your help to reinforce the importance of Diabetic Eye Exams for your diabetic patients who have Health New England Medicare Advantage coverage. Please encourage them to schedule their annual diabetic eye exam in 2026. Diabetic eye exams are covered under the Medical portion of their Health […]

No Comments
Read More

Payment Policy Updates (August 2026)

Posted on July 30, 2026

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 healthnewengland.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, […]

No Comments
Read More

Payment Policy Updates (July 2026)

Posted on June 29, 2026

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 healthnewengland.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, […]

No Comments
Read More

Medical Policy Updates (July 2026)

Posted on June 29, 2026

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. To find policies noted below, please visit healthnewengland.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, extension […]

No Comments
Read More

Previous Posts Next posts