ProviderMatters

Payment Policy Updates (November 2026)

Posted on October 29, 2026

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.

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 between the hours of 8:00 a.m. and 5:00 p.m.

The following payment policies have been updated:

Policy Updates Effective Date Notes
CT of Abdomen and Pelvis

(PP070POL) – NEW POLICY

 January 2027
  • All Lines of Business
  • Outlines what we do today with coding coverage and reimbursement to strengthen our Payment Policy Portfolio
Cardiac Services

(PP065POL) – UPDATED

 January 2027
  • All Lines of Business
  • Policy Update
Dialysis Services

(PP055POL) – UPDATED

 January 2027
  • Commercial LOB
  • Policy Update
Outpatient Rehabilitative Services

(PP022POL) – UPDATED

 January 2027
  • All Lines of Business
  • Policy Update
Modifier

(PP040POL) – UPDATED

 November 2026
  • All Lines of Business
  • Policy Update
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Categories: Provider Newsletter

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