Posted on September 30, 2021
Massachusetts Department of Insurance (DOI) Bulletin 2021-06 Per state mandate (Chapter 260, Acts of 2020), and effective for Commercial Fully Funded plans that are issued or renewed on or after January 1, 2022, Health New England is required to provide coverage for the treatment and diagnosis of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections […]
Posted on September 30, 2021
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. *Please note, new/revised policies may not appear until closer to the effective date. Medical Policy Title Policy Number Description of Change Effective Date LOB Affected Policy […]
Posted on August 30, 2021
We are happy to share with you this Special Edition August 2021 to update you on the Site of Service Program for our Commercial (Fully Insured) Members. If you have any questions about the information in this notice, please contact Health New England Provider Relations at (800) 842-4464, extension 5000. A representative is available Monday […]
Posted on July 30, 2021
Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all products, and hard copies of each directory are available upon request. In an effort to support Centers for Medicare & Medicaid Services (CMS), MassHealth, the […]
Posted on July 30, 2021
Coming Soon, our Commercial and BeHealthy Partnership members will have access to Babyscripts, a digital maternity care program. Babyscripts, a next-generation digital medicine program for maternity and birth, combines personalized obstetrician care guided by the member’s OB/GYN practice. This program provides education and monitoring tools for the time the patient is not in-person with their […]
Posted on July 30, 2021
Effective October 1, 2021, the following services will now require a Prior Authorization. Previously, these services were reviewed post adjudication for medical necessity and coverage under the terms of the member’s plan (i.e., not cosmetic or non-covered treatment).
Posted on July 30, 2021
Beginning in October, Health New England’s Member and Provider Services teams will offer a voice-activated, self-service option so providers can quickly obtain benefits, eligibility and claim status. This quick and efficient self-service tool offers direct access to information 24 hours a day, 7 days a week. Similar to how you reach us today, call (413) […]
Posted on July 30, 2021
As a reminder, some of our Medicaid/BeHealthy Partnership members may be limited in English proficiency and, by law, have rights mandated by the Commonwealth of Massachusetts under the Limited English Proficiency laws. If you are caring for one of our Medicaid members, MassHealth regulations requires you to provide interpreter services so the member can receive […]
Posted on June 30, 2021
Health New England is committed to reviewing our internal procedures and define 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. The following policy was reviewed and updated: Observation Services Payment Policy – Updated Section “Indications for Coverage”, “Commercial” on page […]
Posted on June 30, 2021
Health New England’s formularies are located at healthnewengland.org. At the top of the page, use the “Find A Drug” tool.