ProviderMatters

Payment Policy Updates (October 2026)

Posted on October 1, 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:

 

Payment Policies Updates Effective Date Effective Date
Evaluation & Management Services (PP006POL) – UPDATED October 2026
  • Commercial Line of Business
  • Policy Change – Updated Coverage for Pelvic Exam
Preventive Services (PP032POL) – UPDATED October 2026
  • Commercial  Line of Business
  • Policy Change – Updated Coverage for Pelvic Exam
Acupuncture Services (PP056POL) – REVIEWED October 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Dermatology Services (PP052POL) – REVIEWED October 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Serious Reportable Events (SRE) (PP021POL) – REVIEWED October 2026
  • All Lines of Business
  • Annual Review – Aligned language to strengthen the policy
Allergy Testing (PP051POL) – UPDATED November 2026
  • Commercial  Line of Business
  • Policy Change – Clarified billing language
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Categories: Provider Newsletter

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