Posted on September 30, 2021
Age limit lowered to 45 (Commercial Members) Recently, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended age for colorectal cancer screening from 50 to 45, expanding the range to 45 – 75 years. With that said, effective January 1, 2022, Health New England recommends and will cover the screening of all Fully Insured […]
Posted on September 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 created: COVID-19 Vaccination – documented current procedures The following policies were reviewed and updated: Claims Editing […]
Posted on September 30, 2021
Social Assistance/Community Services for our Members Health New England, in partnership with our parent company Baystate Health, is now able to provide a resource to connect our members facing social needs to programs that serve them. We can do this with dignity and ease. Effective November 1, 2021, your patients, our members facing social needs, […]
Posted on September 30, 2021
As you know, Health New England informed our network back in 2019 that we would begin a Site of Service program through Magellan. At the time, the program was volunteer-based. In the most recent August 2021 notice, we shared with you that certain infusions and injectable drugs would now be required in a home location. […]
Posted on September 30, 2021
On June 15, 2021, Governor Baker ended the state of emergency here in Massachusetts, and many of the public health mandates required since March 2020 have ended or been modified. Since the risk of COVID-19 transmission is still prominent, Health New England will continue to cover the testing, treatment and vaccinations as described below: COVID […]
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 […]