Oct 092013
 

This is specifically for mail order medications for maintenace medications.

 

Dear Prescriber:

 Health New England (HNE) and Catamaran Home Delivery would like to take this opportunity to provide you with updated contact information for you when using Catamaran Home Delivery services.  We hope this reminder will make it easy to contact our team who are specially trained on the HNE mail order program and will be able to assist you with all of your pharmacy Home Delivery needs.

 Prescriber Contact Information to Submit a Prescription

  •  Fax a prescription to Catamaran Home Delivery at 1-855-330-3865
  •  Submit a prescription electronically (e-prescribing) by making this selection from in your web portal application.

                                   Catamaran HD (Avon Lake, OH)

 Contact Catamaran Home Delivery by phone at 1-800-233-3872, option 7 to speak to a pharmacist and call in a prescription.  Please provide HNE Member ID number, the patient’s name and the patient’s Date of Birth.

 

Oct 082013
 

Are you ready for ICD-10? 

 To assist providers meet the ICD-10 compliance deadline of October 1, 2014,Massachusettshealth plans and MassHealth are conducting the third annual ICD-10 provider progress survey. The survey will assess statewide compliance efforts underway and will be used to develop education strategies, training materials, and identify resources to aide providers in their ICD-10 preparations.

 To avoid duplicate survey requests from various health plans, HealthCare Administrative Solutions (HCAS) developed this survey on behalf of the following organizations:

 Blue Cross Blue Shield ofMassachusetts

  • BostonMedicalCenterHealthNet Plan
  • Fallon Community Health Plan
  • Harvard Pilgrim Health Care
  • HealthNew England
  • MassHealth
  • Neighborhood Health Plan
  • Network Health
  • Tufts Health Plan

 In addition, the Massachusetts Health Data Consortium (MHDC), Massachusetts Association of Health Plans (MAHP), Massachusetts Medical Society (MMS) and the Massachusetts Hospital Association (MHA) support this effort.

 Please complete this brief survey, located at: https://www.surveymonkey.com/s/HCASICD10Survey

by October 31, 2013.

 An ICD-10 summary of statewide results report will be available on the HCAS website in November at http://www.hcasma.org/NewsAndInformation.htm.

 To avoid duplicate responses, we request that each organization required to comply with the ICD-10 mandate provide a single unified survey response on behalf of that organization.

Aug 052013
 

As your business partner, HNE is committed to providing you with the tools and information you need to deliver high quality care to our members. As part of this commitment, we are pleased to announce that we are now posting our Payment Policies in the Provider Section of HNE.com.  The section will incorporate both new and existing policies.  For new policies, the effective date will be indicated and will incorporate 60 days prior notice.   Following the launch of this resource, HNE will begin posting a set of policies which will continue to grow as we continue to upload both existing and new policies to this section for your ease of reference. 

 Should you have any questions or concerns about these policies, please do not hesitate to contact Provider Relations at 413.233.3313 or 800.842.4464, extension 5000 or email at ProviderRelations@hne.com

 

Jul 092013
 

 

Please note that this change only applies to Commercial and Medicaid plans

Health New England is changing specialty pharmacy providers from ICORE Healthcare to BriovaRX who is located in Avon Ma.  Effective September 3, 2013, BriovaRX will be HNE’s preferred specialty pharmacy provider for our Commercial (FF/SF) and Medicaid population. Reason for change…..the change will enhance the services and benefits our members receive.  In addition, the company will collaborate with HNE to help reduce pharmacy costs, achieve lower overall health care costs and help our members stay well. 

Please click the link below to view a recent mailing and FAQ’s regarding this change.

BRx Provider Letter

FAQ for BriovaRx

Jun 192013
 

MassHealth is in the process of determining the implementation process for managed care providers regarding Medicaid rates directed by Section 1202 of the federal Affordable Care Act. This applies only for certain primary care services delivered by eligible providers. Once HNE receives that information, we will process claims at the required rates. HNE will communicate additional details of the timing and process for any retroactivity once confirmed with MassHealth. Until then, providers are requested to refrain from submitting appeals or adjustment requests, as they cannot be processed without further guidance from MassHealth. We appreciate your cooperation and we will provide further information to providers as it becomes available.

 

For more information click here: http://www.mass.gov/eohhs/provider/insurance/masshealth/section-1202-rates-for-physicians-who-provide-pcs.html

 

Apr 032013
 

As of January 1, 2013, HNE now offers both Medicare Advantage and Medicare Supplement plans.

Today, HNE offers Medicare Advantage plans in Hampden, Hampshire, Franklin and Berkshire Counties. HNE has approximately 8,000 Medicare Advantage members. HNE is the only 5-Star Rated health plan in Massachusetts, two years running!  With a 5-Star rating, Medicare beneficiaries who are not currently on an HNE Medicare Advantage plan can enroll in an HNE Medicare Advantage plan anytime during the 2013 calendar year. 

As of 1/1/2013, HNE now offers Medicare Supplement plans.  HNE has two Medicare Supplement plans, the HNE Medicare Supplement Core and the HNE Medicare Supplement 1.  These plans can be bought by any Medicare-eligible resident of Massachusetts.  As a company, we don’t anticipate a large number of Medicare Supplement members in the 2013 calendar year, however if you encounter an HNE Medicare member, here are some important tips:

HNE Medicare Advantage Plans

  • ID numbers start with the number 9.
  • Cards have the HNE Medicare Advantage logo on them.
  • Members should only show you their HNE Medicare Advantage card
  • You should only bill HNE (not Medicare) for their services.
  • You must be participating in the HNE Medicare Advantage network to treat these members.

HNE Medicare Supplement

  • Plan ID numbers start with the number 6.
  • Cards look similar to our commercial membership cards.
  • Members should show both their HNE Medicare Supplement card and their Medicare Red, White and Blue card. 
  • Medicare will be the primary payer.  You should bill Medicare first.
  • You don’t have to be in the Medicare Advantage network to treat these members.

For both our HNE Medicare Advantage and HNE Medicare Supplement member inquiries, you can call HNE’s Medicare dedicated Member Services team at 413.787.0010 or 877.443.3314.