Jun 052014
 

The attached explains a notice of formulary changes that was recently mailed to providers on 5/20/2014. This mailing was sent to providers who currently have patients that are utilizing fluoxetine 40mg capsules and fluoxetine 20mg tablets. HNE will no longer cover fluoxetine 40mg capsules and fluoxetine 20mg tablets. The fluoxetine changes are effective 7/1/14.

 *We will still cover all other strengths and all quantity limits remain in place at this time. Members and pharmacies have already been made aware of this change.

 •          In place of the 20mg tablets pharmacies will be asked to switch to 20 mg capsules.

•          In place of the 40mg capsules pharmacies will be asked to switch to two 20 mg capsules.

 For ease of transition we are asking HNE providers to proactively apply the above changes when prescribing fluoxetine.

 The reject messaging on the claim at POS will reflect the bullets above. Pharmacies will be asked to contact the prescribing physician for verbal authorization to switch. 

 The reason for this change is the current net pricing for the 40mg capsules and the 20mg tablets, after all discounting, is much more expensive than the net pricing for the 20mg capsules. If you have any questions, please contact Provider Relations at 413.233.3313 or 800.842.4464, extension 5000.

 Fluoxetine Provider LTR

May 222014
 

We’ve posted some helpful information from the CDC’s Division of Nutrition, Physical Activity and Obesity (DNPAO) regarding a public health approach to address the role of nutrition and physical activity. There is also some information from the American Academy of Pediatrics regarding a website they developed as part of the Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents. Please click on the below link to view:

http://www.healthnewengland.com/HNE_Providers/Helpful-Information-Tools%20.html

May 142014
 

Are you a participating outpatient provider for Mass Health? If so, the purpose of this tip sheet is to provide you with information regarding your role as a Hub provider, as well as linkage to resources to enhance your effectiveness as members of a youth and family’s team. It is anticipated that this tip sheet, along with participation in ongoing trainings, events, and CBHI Level of Care meetings, will assist you as an outpatient clinician in more fully understanding your role in the CBHI child-serving system. Please click on the link below.

OP CBHI tip sheet 4 28 14 (2) PDF

Apr 072014
 

We appreciate your ongoing partnership with us in providing excellent care and service to our members.

 HNE has long established Appointment and After Hours Standards that have been made readily available in the HNE Provider Manual.  As part of HNE’s ongoing effort to ensure that members have appropriate and timely access to care, we are posting this reminder. Please click on the link below to view our Access Standards.

Provider Appointment Access Standards

 

 

Apr 032014
 

It has come to our attention there has been confusion around some Health New England (HNE) plans being offered through the Connector versus individuals who qualify for the new MassHealth CarePlus Program, both effective January 1, 2014. In support of our ongoing partnership with you in providing excellent care and service to our members, we’d like to provide the following clarification.

All HNE plans offered through the Connector are an extension of our Commercial line of business and should be treated as such.  ID cards for this product will have “Massachusetts Health Connector” on the front of the card.  To see a copy of the ID card please click the link below.

HNE Connector Card

HNE was selected by Executive Office of Health and Human Services as one of the plans to provide coverage to individuals in Western Massachusetts who qualify for the new MassHealth CarePlus program.  HNE is administering this program under our Be Healthy Plan and provider network.  ID cards for this product will have “HNE Be Healthy” on the front of the ID card.  To see a copy of the ID card please click the link below.

Be Healthy Card

If you have any questions or concerns, please contact HNE Provider Relations at 800.842.4464, extension 5000.