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:
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.
Please click below to view a recent mailing that went out directing providers to HNE.com to view some updated policies. I’ve also included a link to the appropriate page on HNE.com.
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.
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 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.
If you have any questions or concerns, please contact HNE Provider Relations at 800.842.4464, extension 5000.
Please click on the link below if you are interested in attending this event being held at the Springfield Marriott on October 21st, offered by Baystate Medical Center:
Please click the link below to view a recent mailing that went out regarding our new Be Healthy product, Care Plus.
Submitting Claims to HNE
HNE will follow the Centers for Medicare & Medicaid Services (CMS) guidelines regarding ICD-10 cutover and will not accept claims with ICD-9 codes for dates of service after the defined cutover date (i.e., 10/1/2014). They will be returned to the provider for correction and resubmission.
HNE participating in the Collaborative Testing Program (CTP)
To proactively address the challenges involved in transitioning to ICD-10, the Massachusetts Health Data Consortium (MHDC) has launched the nation’s largest state-wide ICD-10 initiative called the Collaborative Testing Program (CTP). The CTP’s aim is to reduce the risk of the ICD-10 transition and save time and resources for payers, providers, vendors and intermediaries by offering a fully hosted, product and services testing solution for file validation, coding content and business impact. Currently over 70 organizations, including Health New England, are involved with efforts focused on: collaborative testing design and implementation planning; common mapping and computer-assisted coding technologies; training, education, and clinical documentation best practices; and standardized communication.
For the most up-to-date, specific information on the CTP program, please visit the MHDC ICD-10 CTP website, http://www.mahealthdata.org/ctp
HNE has created a web page on HNE.com for ICD. You may access the page at http://hne.com/HNE_Providers/ICD10. On this page you will find information related to HNE’s implementation timeline. There are also links to other organizations which may provide useful information.
As part of our efforts to comply with the federally mandated CAQH Committee on Operating Rules for Information Exchange (CORE) in effect on January 1, 2014, HNE will be enhancing our processes for both EFT and ERA. Please click on the link below to click on a notification being sent to providers regarding this enhancement:
Please click on the link below to view a recent notification that went to providers regarding the availability of the 2014 formularies online at hne.com: