Posted on December 1, 2014
This message is to remind you that HNE will honor any approved, existing Prior Authorizations for care for members reassigned to HNE Be Healthy, as long as the authorization is for a covered benefit. This notification applies to the medical necessity approvals. Any previously negotiated contractual agreements will not apply. HNE will reimburse at Massachusetts […]
Posted on December 1, 2014
With the impact of new Medicaid members joining HNE Be Healthy, we understand that you may have questions about how to become credentialed with MBHP, our vendor for the behavioral health benefits for these members. The process is outlined below. In order to become credentialed with MBHP, behavioral health providers are being asked to send […]
Posted on November 26, 2014
HNE Be Healthy Behavioral Health Providers please be aware of a new “BH transitional visit”, being introduced by MBHP for our members that is now effective. The transition visit aims to improve Health New England (HNE) Be Healthy Members’ connectedness to their aftercare services upon discharge from adult inpatient facilities by promoting adherence to […]
Posted on November 26, 2014
There was a recent mailing that was sent to providers who currently have patients that are utilizing prescription NEXIUM®, Kapidex™, Dexilant, Prevacid® Solutab™, omeprazole sodium bicarbonate (generic Zegerid®), or rabeprazole. Effective January 1, 2015, HNE will no longer cover prescription NEXIUM®. HNE will instead cover the over-the-counter (OTC) version: Nexium® 24HR. Below is an example of […]
Posted on November 20, 2014
Results from the survey to PCPs on communication with BH providers who are treating your patients HNE is committed to supplying our providers with the information they need to deliver high quality care to our members. As part of that commitment, we asked you to participate in a survey to assess your experience with […]
Posted on October 21, 2014
Helpful ADHD Materials: Below is a link to additional information and the ADHD toolkit created conjointly by the National Initiative for Children’s Healthcare Quality and the American Academy of Pediatrics. Through this link you can access the ADHD Toolkit. Simply click on the link below then go to the final version of the ADHD Toolkit. […]
Posted on October 2, 2014
Attached please see important notice regarding a recent announcement from the U.S. Drug Enforcement Administration (DEA) regarding hydrocodone-combination products (HCPs) effective October 6, 2014. Hydrocodone-Combination Products Reschedule to Class II Notice – revised
Posted on October 1, 2014
A reminder that HNE is proud to announce that we will be co-sponsoring and subsidizing a Continuing Medical Education (CME) event on behavioral health integration in the primary care setting. CMEs will be provided in the area of risk management. Please see the attached brochure for information and how to register for this event. The […]
Posted on September 30, 2014
Two different patient satisfaction surveys impact CMS Star ratings: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, typically mailed to the Plan members from March–June. The Health Outcomes Survey (HOS), typically mailed to members April–July. HNE has compiled a list of some of the questions from both surveys. You can see exactly the […]
Posted on September 24, 2014
CPT Category II codes are supplemental tracking codes that can be used for performance measurement.The codes are intended to facilitate the collection of information about the quality of care delivered by coding services or tests that support performance measures. WHY SHOULD I USE CPT II CODES? The use of the tracking codes will not only […]