Posted on July 13, 2016
Pain Management: A Balanced Approach to Care Tuesday, November 1, 2016 8:30 a.m. – 4:00 p.m. Presented by Baystate Health and Health New England A course for physicians, pharmacists, nurse practitioners, social workers, physician assistants, psychologists, social workers, mental health and addiction counselors. This course is designed to provide the latest information on the scope […]
Posted on July 13, 2016
In response to the continued impact of the opioid crisis, Health New England is providing substance use disorder evaluation coverage to our plan members. As part of recently enacted Massachusetts legislation (Chapter 52 of the Acts of 2016, An Act Relative to Substance Use, Treatment, Education and Prevention), Health New England is in compliance with […]
Posted on July 13, 2016
Results from Health New England’s 2016 survey about communications between Primary Care Providers (PCPs) and Behavioral Health (BH) Providers are in. In March, we sent out 288 questionnaires to PCPs at 10 of our practices with the highest population of members receiving BH treatment. This questionnaire was designed to assess satisfaction with the communication received […]
Posted on July 5, 2016
We have recently updated several Health New England medical policies that will become effective on 9/1/16: Clinical Trial for Medicare Advantage Members Clinical Review Criteria related to: Behavioral Health Day Treatment Behavioral Health Repetitive Transcranial Magnetic Stimulation Continuous Glucose Monitoring Genetic Testing Implantable Miniature Ocular Telescope Laser-Assisted Uvulopalatoplasty or Uvulopalatopharyngoplasty Mobi-C Artificial Cervical Disc Rhinoplasty […]
Posted on June 23, 2016
A tip sheet for the culturally sensitive practitioner Culture can be defined as the pattern of behavior, beliefs, values, communication, and customs as affected by racial, ethnic, geographical, socioeconomic, biological, and/or spiritual factors. Culture is sometimes seen as only relevant when grouped by various ethnic/racial identities, but each individual’s culture will affect his/her treatment in more […]
Posted on June 23, 2016
Health New England is committed to improving the percentage of members who remain on antidepressant medications after being newly diagnosed and treated with depression. Did you know? According to the American Psychiatric Association (APA), major depression disorder is a chronic condition that requires patients to participate actively in and adhere to treatment plans for long […]
Posted on May 31, 2016
Please read the following to learn more about the important updates, which may have an impact on your practice: Adolescent Well-Care Visit Incentive Program Medical and Behavioral Health Clinical Policy Updates Provider Directory Data Validation Do you service Medicaid adolescents for Well-Care Visits? Health New England is launching an incentive program for our Medicaid adolescent […]
Posted on May 11, 2016
The Primary Care Clinician (PCC) Plan and the Massachusetts Behavioral Health Partnership, along with Health New England Be HealthyTM and the other Mass Health plans, have collaborated to create a single form that can be used by all Mass Health providers to facilitate communication. Behavioral health providers and PCCs can use the form when communicating with […]
Posted on April 22, 2016
Health New England has a number of important updates that may have an impact on your practice. Please review the following updates: Urine Drug Screen Payment Policy ClaimsXTen CMS Clinical Edit Update Pharmaceutical Waste Payment Policy Medicare First Tier, Downstream and Related Entities Training Updates on a number of Behavioral Health and Medical Clinical Policies […]
Posted on March 30, 2016
Health New England is a Managed Care Organization (MCO) that works in conjunction with MassHealth. The MassHealth Pharmacy Program, in collaboration with the Department of Children and Families (DCF) and the Department of Mental Health (DMH), has developed a Pediatric Behavioral Health Medication Initiative that will require prior authorization to ensure the highest quality and safest […]