Posted on November 23, 2015
Code of Conduct 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 HNE operates in a manner consistent with the letter and the spirit of the laws. HNE expects Covered Individuals to adhere to this Code of Conduct when […]
Posted on November 23, 2015
Health New England is working with Polymedco and Baystate Reference Labs (BRL) to help promote the importance of colorectal cancer screenings to our members. Within the next few weeks, Polymedco will mail a letter and fecal immunochemical test (FIT) kit with instructions to HNE members who may not have completed any colorectal cancer screening. The […]
Posted on October 28, 2015
Effective 1/4/16, Health New England will be implementing a change in the way we manage certain specialty drugs that fall under the medical benefit. We will now be requiring prior authorization for the following drug areas: Oncology, Oncology Support (antiemetic, neutropenia) Anemia Hereditary Angioedema Inflammatory Conditions Immunodeficiency (IVIG) HNE also will be implementing a post […]
Posted on October 26, 2015
Every year, Health New England sends Health New England Medicare Advantage plan members an Annual Notice of Change (ANOC) that describes how their plans will be changing for the following year. Medicare requires all health plans to send these documents so that members can make an informed choice about their Medicare Advantage coverage. Health New […]
Posted on October 26, 2015
As part of our commitment to provide affordable access to high quality healthcare, Health New England continually reviews the benefits and services offered to our members. We then notify members of changes to certain benefits and programs that are part of the standard benefit plan. Please note Health New England’s Semi-Annual Notice of Changes effective […]
Posted on October 26, 2015
Beginning 01/01/2016, Nuclear Cardiology Studies performed in an outpatient hospital setting will now require prior authorization. Prior authorization must be obtained from eviCore (formerly MedSolutions) prior to services being rendered. For more information, please contact Health New England Provider Relations at (413) 233-3313 or (800) 842-4464, ext. 5000.
Posted on October 26, 2015
Please note that effective Tuesday, October 27th, there will be a new format to the medical inpatient authorization numbers. The format will go from a numeric 9 digit authorization number to a 12 digit alpha-numeric authorization number. The number will start with “MD” followed by the year/month/day, followed by 4 digits. (Example: MD1510270001). If you […]
Posted on September 24, 2015
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Posted on September 23, 2015
How will the payer handle recurring patient (chemo, physical therapy, etc.) authorization? Specifically, will new authorizations be needed for recurring appointments post 10/1/15? If the provider has an existing authorization that spans past 10/1/15, that authorization will remain valid until the end date. New authorizations requested on or after 10/1 will require an ICD-10 code. […]
Posted on September 10, 2015
There are still openings for the Integrating Pain Management and Behavioral Health in Primary Care Conference. Sign up now before it is too late! When: September 18, 2015 Where: Berkshire Hills Country Club 500 Benedict Road Pittsfield, MA Time: 8:00 a.m. – 12:30 p.m. For more full conference details, click here. To register online, click here. […]