Posted on April 24, 2024
The Change Healthcare cyber attack has created hardships for many of our providers and we recognize it will take time for systems to be restored and verified. To help support providers, Health New England has taken the following actions: Claims Submissions and payment files: Change Healthcare access restored Effective April 22, 2024: Health New England […]
Posted on April 1, 2024
Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: The following policies are newly added: If you have any questions about the […]
Posted on April 1, 2024
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. The following policies were reviewed: Community-Based Acute Treatment/Youth Clinical Crisis Stabilization (CBAT/YCCS) Program and Intensive Community-Based Acute Treatment (ICBAT) Program (Behavioral Health) Youth Clinical Crisis Stabilization services (YCCS) […]
Posted on February 26, 2024
Each year, Health New England reviews gaps in care and access to appointments, and works closely with regulatory entities to ensure programs are in place to meet the needs of our members. The following benefits are in place for 2024: Behavioral Health Wellness Effective 4/1/2024, our Fully Funded Commercial* members will have access to one […]
Posted on February 26, 2024
Beginning March 2024, Signify Health, a current partner for in-home health assessments, will expand to more eligible Medicare and Commercial members throughout our service area. A licensed clinician who reviews medication and medical history does these assessments. They also check vital signs, look for safety risks, and answer health questions. These visits do not replace […]
Posted on February 26, 2024
Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org/Providers/Resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn more. The following policies were reviewed: Drug Testing in Substance Use Disorder treatment and Pain Management Name changed from Drug Testing Minor changes to criteria No coding changes […]
Posted on February 26, 2024
Attention Providers and Practice Managers: Accurate provider directories are critical to helping our members make educated decisions about their plan choices. Health New England offers an online directory for all products, and hard copies of each directory are available upon request. In an effort to support the Centers for Medicare & Medicaid Services (CMS), MassHealth, […]
Posted on February 26, 2024
Health New England is committed to reviewing our internal procedures and define coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: If you have any questions about the information in this notice, please contact […]
Posted on February 16, 2024
Point32Health, the not-for-profit parent company of Harvard Pilgrim Health Care and Tufts Health Plan, announced today it has signed a definitive agreement with Baystate Health to acquire its subsidiary, Health New England.
Posted on January 30, 2024
Health New England is committed to reviewing our internal procedures and define coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources. The following policies were reviewed and updated: Anesthesia Services Payment Policy – added the QZ modifier