Posted on August 6, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. The following policies were reviewed and updated: Policy Effective Date Summary of Changes HIV PrEP Policy 8/1/2025 Health Care Reform Copay Waiver Request Form Added to the Provider Forms section […]
Posted on July 2, 2025
Health New England partners with Virta Health to offer members a Nutritional Therapy for Weight Loss and Diabetes Reversal Program. The program is provided at no cost to eligible members.* Virta’s program is available for eligible Medicare Advantage members and fully funded Commercial members and their covered dependents 18 years and older with certain metabolic […]
Posted on July 2, 2025
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: Policy Effective Date Summary of Changes Facility Routine Services, Supplies and Equipment 9/1/2025 All […]
Posted on July 2, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday […]
Posted on July 2, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. Opioid Antagonists Coverage Effective Services beginning on 7/1/2025 Commercial line of business Product: Naloxone nasal spray inhaler which consists of two spray inhalers, with each inhaler containing 4 mg of […]
Posted on June 4, 2025
Health Equity The mission of Health New England is to improve the health and lives of the people in our communities, and we are deeply committed to those individuals we serve every day. In addition, we believe everyone must have the opportunity to attain their full health potential with no disadvantage due to social or […]
Posted on June 4, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday […]
Posted on May 12, 2025
Health New England provides health insurance to members of the Massachusetts Group Insurance Commission (GIC), the state agency that provides benefits to state and certain municipal employees, retirees, and their dependents. Health New England and the GIC would like to inform you about an important update regarding the GIC and its ability to pay its […]
Posted on May 2, 2025
Please read the following update related to various Health New England programs and changes that may have an impact on your patients and/or your practice. If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday […]
Posted on April 7, 2025
Updates Notes MassHealth All CAR-T drugs transition to the MassHealth Drug Utilization Review (DUR) Program Effective April 1, 2025, MassHealth will transition the review and management of all CAR-T drugs to the MassHealth Drug Utilization Review (DUR) Program. Health New England will continue to review all other services related to CAR-T. The Chimeric Antigen […]