Posted on December 18, 2020
Health New England continues to allow clinically appropriate and medically necessary telehealth services with our in-network providers through the state of emergency. We shared earlier that we will waive member cost-sharing for COVID-19 and non-COVID-19 related medically necessary telehealth services.* This decision to waive member cost-share has been extended until March 31, 2021, for most […]
Posted on December 18, 2020
Effective March 1, 2021, Heath New England will no longer cover CPT code 99072 * for additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease. *As summarized […]
Posted on December 14, 2020
Health New England’s formularies can be accessed on healthnewengland.org using the “Find A Drug” tool at the top of the page.
Posted on December 14, 2020
Health New England is committed to review our internal procedures and define coverage and billing guidelines with industry standards to ensure our policies are current. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following will be new effective 1/1/2021 Skilled Nursing Facility (documents current procedures)
Posted on December 14, 2020
For our BeHealthy Partnership members and others utilizing MassHealth with their benefits, Health New England follows the guidance provided by the Executive Office of Health and Human Services (EOHHS). Below is a reminder from their recent Bulletin that we are following: Bulleton 301: Impact of COVID-19 on Behavioral Health and the Importance of Perinatal and […]
Posted on December 14, 2020
Health New England’s Clinical Policies have been updated and can be found at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn of the changes. Please note, new/revised policies may not appear until closer to the effective date. Reviewed and Updated (Effective date of 2/1/2021 ) Chimeric Antigen Receptor T-Cell Therapy […]
Posted on November 4, 2020
Health New England’s formularies can be accessed on healthnewengland.org using the “Find A Drug” tool at the top of the page.
Posted on November 4, 2020
Health New England’s Clinical Policies have been updated and can be found at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn of the changes. New Medical Policies (Effective 12/1/2020) Azedra (iobenguane I 131) Nodify Lung Nodule Risk Assessment BDX-XL2 (Biodesix, Inc.) New Medical Policy (Effective 1/1/2021) Deep Brain Stimulation Treatment […]
Posted on November 4, 2020
Health New England is committed to review our internal procedures and define coverage and billing guidelines with industry standards to ensure our policies are current. To access payment policies, please visit healthnewengland.org/providers/resources. The following policies were reviewed and clarifications were made: • Diabetic Care Payment Policy o Covered Treatment and Services, clarified covered insulin pumps. […]
Posted on November 4, 2020
It is Health New England’s policy to conduct its business in compliance with all applicable federal and state laws and regulations and to assure that Health New England operates in a manner consistent with the letter and the spirit of the laws. Health New England expects its employees, management, governing body members and first tier, […]