Worcester County Plan Update, MassHealth Renewal and Other Alerts
Provider News and Announcements
Worcester County Merged Market Plan Update: After careful consideration, Health New England has made the difficult decision to no longer offer health insurance plans for individuals and organizations with 50 or fewer full-time equivalent employees in Worcester County. This applies to plans that renew on or after October 1, 2023. We will continue to serve large employer groups and organizations in Worcester County and individuals, small groups and large groups in Hampden, Hampshire, Franklin, and Berkshire Counties. Health New England is notifying affected employers and members by mail during the week of July 3 and will follow-up with additional communications.
COVID-19 Vaccine: For information about the COVID-19 vaccine, visit our COVID-19 Vaccine News page.
Health New England is following the guidance detailed in EOHHS' Accountable Care Organization's All Provider Bulletin 363.
Reminder: Providers should check MassHealth's Eligibility Verification System (EVS) to understand the Member's assigned plan.
MassHealth/Medicaid Redetermination: MassHealth/Medicaid redetermination is underway, which may impact coverage for patients who are BeHealthy Partnership members. Please click here for more information.
Attention: Health New England is not accepting walk-ins at this time. Visit the Contact Us page to learn how to reach us.
Have Questions About the Coronavirus and What’s Covered by Health New England? Read our Provider Coronavirus FAQs to learn more.
We share the same goal as our providers – to provide patients with better health and well-being.
Login to our provider portal, HNEDirect, for information about administrative procedures, plan changes, and more.
EOP/Negative Balance SEARCH
We’ve made it easier to view your Explanation of Payments and Negative Balance Reports included in one document.
Our ProviderMatters news site on HNEtalk.com includes updates on Health New England policies, news and important reminders.
From Behavioral Health Services to Clinical Requests, you’ll find what you need in our Provider Forms Library.
Tools and Resources
Provider Welcome Guide
From policies and procedures to forms and documents, visit our Resources page to help find the information you are looking for.
The Health New England Provider Manual contains information, guidelines, and procedures that should be followed when rendering medical service to members and which are common to managed care in general.
Find key contacts to address your questions or concerns all in one location.
Coding Best Practices & Tips
Find best practices and tips associated with codes, documentation, prior approvals and awareness around compliance.
We're here to provide education and support to members experiencing mental health or substance abuse issues.
If you currently are not affiliated with one of our Physician Hospital Organizations and would like to become a Health New England participating provider, we invite you to join us.
We have compiled a list of providers' frequently asked questions and answers that may help you with some of your own questions.
Visit our ICD-10 Resource page with information about our Roadmap, Testing Schedule, and valuable resource links.
Health New England's Medicare Advantage plans offer comprehensive coverage with our broad network of primary care providers, specialists and hospitals in Western Massachusetts and parts of Connecticut.
Be Healthy PartnershipSM
Be Healthy PartnershipSM is Health New England’s MassHealth plan for Medicaid members. Visit the Be Healthy PartnershipSM site to learn more about this plan.