Posted on May 9, 2018
To access Health New England’s Clinical Policies, go to our Provider Resources page at healthnewengland.org/Providers/Resources. On the Resources page, click on “Behavioral Health/Medical Policies.” Most recently, the following policies have been released and/or reviewed: • Formula and Enteral Nutrition • Female Reduction Mammoplasty and Breast Reconstruction • High Frequency Chest All Oscillation Devices • Long-Term […]
Posted on February 27, 2018
Please review the Health New England Provider Alert 51 “ACO Continuity of Behavioral Health Care” issued to the behavioral health provider network by the Massachusetts Behavioral Health Partnership (MBHP) on behalf of Health New England. The Health New England Be Healthy MCO will end on February 28, 2018, but MBHP will continue to manage behavioral […]
Posted on February 13, 2018
Health New England is committed to keeping all of our providers informed of plan changes and other updates related to our lines of business. We would like to inform you of an upcoming change in our Medicaid business. Earlier this year, we were informed by MassHealth that Health New England has not been awarded a new […]
Posted on January 24, 2018
Dear Providers – As a friendly reminder, Health New England requires prior authorization before prescribing short-acting opioids through OptumRx. This has been in effect since January 1, 2017. You can access the following medication request form to request authorization here. This form can be faxed directly to OptumRx at 1-800-550-9246.
Posted on December 7, 2017
The following chart defines the changes to the Be Healthy/Medicaid prescription drug coverage, effective 1/1/2018. These changes are included in members’ coverage notices.
Posted on December 7, 2017
Health New England’s formularies can be accessed on healthnewengland.org using the “Find a Drug” tool at the top of the page. The online formularies are updated throughout the year as changes are made. We have three formularies, one for each line of business – Commercial, Medicare Advantage and Be Healthy/Medicaid. Each formulary includes the tier […]
Posted on December 7, 2017
Did you know you can access Health New England’s Clinical Policies on our Provider Resource page at healthnewengland.org/Providers/Resources. Most recently, the following Medical Policies have been released and/or reviewed: Family Stabilization Team Radiofrequency Ablation for Spinal Pain Endothelial Keratoplasy Sacral Nerve Stimulation and Electrical Percutaneous Tibial Nerve Stimulation Infertility Treatment Gender Reassignment Surgery Artificial Intervertebral […]
Posted on December 7, 2017
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, […]
Posted on December 7, 2017
HNEDirect Provider Portal Users: To better protect our stakeholders’ information, we are changing our HNEDirect password policy in accordance with industry guidelines and best practices. If you are a user of HNEDirect, your password will be expired during the month of December and you will be asked during the login process to reset your password […]
Posted on December 7, 2017
Attention Practice Managers: Accurate provider/pharmacy directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all of our products. In addition, hard copies of each directory are available upon request. In an effort to support both CMS and NCQA requirements, we reach out […]