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 […]
Posted on March 14, 2016
We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 5/1/16): Updated Health New England policies: • Neuropsychological Testing for Medicare • Centers for Medicare & Medicaid (CMS) and MassHealth Criteria and Guidelines Clinical review criteria related to: • Wearable Cardiac Defibrillator • BRCA Genetic Testing • Cologuard DNA Stool Test • Blepharoplasty & Browplasty […]
Posted on February 12, 2016
Please read this letter carefully for updates on our audit program policy, appointment and after-hours standards and our provider/pharmacy directory requirements. Audit Program Policy Effective May 1, 2016 Health New England will issue a replacement version of our Audit Program Policy. The objective of this policy is to ensure Health New England fulfills our responsibility […]
Posted on February 9, 2016
SPRINGFIELD, Mass., February 10, 2015 – Health New England recently launched an all-new corporate brand, marked by a blue and gray logo and tagline, “Where you matter.” To coincide with the new brand launch, the company also released its new public website, healthnewengland.org. Health New England continues to offer health plans across three lines of […]
Posted on January 28, 2016
The Substance Abuse and Mental Health Services Administration (SAMHSA) recently has updated their Opioid Overdose Prevention Toolkit and is now offering free copies to health care providers, communities and local governments. The toolkit materials are aimed to help develop practices and policies to prevent opioid-related overdoses and deaths. The materials also address issues for health care […]
Posted on January 21, 2016
We have recently updated Health New England Policies and Clinical Review criteria as follows (effective 2/1/16): • Oncotype DX and MammaPrint Breast Cancer Assay • Community Based-Treatment Program • Crisis Stabilization Unit We have also added New Standardized Prior Approval (PA) Forms for Behavioral Health (effective 1/1/16). To obtain paper copy of any information referenced on this postcard, please […]