Posted on November 4, 2020
Health New England Appoints New President and CEO We are pleased to announce that Richard Swift has been appointed to the role of President and CEO of Health New England. Richard has been serving as Health New England’s Interim Chief Financial Officer since April 2020. He is an experienced Chief Executive Officer and Chief Financial […]
Posted on October 6, 2020
Health New England is pleased to announce the recent appointment of Ira M. Klein, MD, MBA, FACP, to the role of Vice President and Chief Medical Officer. In this position, Dr. Klein is responsible for ensuring the quality and cost-effectiveness of health care services for Health New England members, and will focus on clinical excellence, […]
Posted on September 14, 2020
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 September 14, 2020
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, you are required by MassHealth regulations to provide interpreter services so the member […]
Posted on August 5, 2020
Please see the most recent announcement from the Department of Health and Human Services regarding an extension to its application deadlines. For Medicaid and certain Medicare providers who experienced challenges during Coronavirus, the deadline for your submission has been extended until Friday, August 28, 2020.
Posted on August 5, 2020
As you may or may not know, Health New England has an automated review of claims against accepted industry rules and coding guidelines. The sources for coding rules and edits may include, but are not limited to, the following: CPT, ICD, CMS and Health New England Payment Policies. This automated update and review takes place […]
Posted on August 5, 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. New September 2020: • Laboratory Services/Laboratory Professional Services (documents current procedures) • Modifier Payment Policy (transitioned content from Provider Manual)
Posted on August 5, 2020
We are excited to announce that we are expanding our provider networks to include Trinity Health Of New England’s Connecticut hospitals and their physician network known as SOHO Health (Southern New England Healthcare Organization).* This expansion applies to our fully-funded and self-funded commercial HMO and PPO networks, and our Medicare HMO and HMO-POS networks. *Please […]
Posted on August 5, 2020
In July, Baystate Health announced exciting changes to the organization’s leadership structure. Among these changes is that Marion A. McGowan, President and CEO of Health New England, has been named Executive Vice President and Chief Operating Officer for Baystate Health. Please read the full announcement from Mark A. Keroack, MD, MPH, President and CEO, Baystate […]
Posted on August 5, 2020
Health New England has been working to deliver more timely communications via email. This will not only help us reduce the use of paper but it will ensure we are communicating to everyone who needs to be informed. To receive notifications electronically, it is as simple as signing up for ProviderMatters at http://hnetalk.com/provider/. Once signed […]