Corporate Compliance Program

It is Health New England’s (HNE) policy to conduct its business in compliance with the laws and regulations of the United States and the Commonwealth of Massachusetts and to assure that HNE operates in a manner consistent with the letter and the spirit of the laws.

Code of Conduct
Part of HNE’s mission is to be a leading corporate citizen. This means that HNE, and all HNE associates and agents, should follow these three rules when conducting business on behalf of HNE:

• Act ethically and responsibly
• Obey the law
• If you learn that someone connected with HNE is breaking either of the first two rules, do your best to put things right, or to find someone who can

For more information, review the HNE Code of Conduct. 

View Health New England's full Compliance Program Description and Code of Conduct here.

Annual Training Requirement
All HNE employees (including temporary workers and volunteers) and governing body members receive mandatory compliance training consisting of general compliance, fraud, waste and abuse, and HIPAA privacy and security, within 90 days of hire and annually thereafter.

First Tier, Downstream, and Related Entities (refer to the Code of Conduct, Section E, for definitions) who have not met the FWA certification requirements through enrollment into the Medicare program or accreditation as a DMEPOS must certify that they have taken the CMS-developed training, available on the  Medicare Learning Network [MLN] Provider Compliance website.

Fraud, Waste, and Abuse Prevention Program
HNE has established a comprehensive Fraud, Waste, and Abuse Prevention policy prevent, detect, and correct fraud, waste, and abuse by employees, members, employers, brokers, providers, and Contractors of Health New England (HNE). Under this program, HNE works to promote a sense of integrity and vigilance by means of comprehensive anti-fraud education for such individuals and entities. For more information, review the HNE Fraud, Waste, and Prevention Program page. 
Reporting Concerns
Please tell us if you have a compliance concern. You can call our toll-free compliance hotline, email, or send us a letter.
• Compliance Hotline: (800) 453-3959 (available 24/7; reports can be made anonymously)
• Email: compliancedepartment@hne.com (use secure messaging instructions below)
• HNE mailing address:
Health New England, Inc.
Attn: Compliance Officer
One Monarch Place
Springfield, MA 01144-1500


When making a report, please provide as much detail as possible. Names, dates, and a description of the issues in question are important. For example, you may wish to describe why you think an activity is a cause for concern. If possible, please include your name and telephone number. That way, we can contact you if we have any questions during our investigation.

If you wish to use email to report a concern, please use secure messaging to protect your confidentiality. For example, you may send and receive secure messages by logging in to the HNE Secure Mail Message Center. Go to https://hne-mail.com, create a login, and compose a message. You will be able to log in later to receive our response.

Prompt response and corrective action
All reports will be taken seriously and, if warranted, investigated by the Compliance Officer. The identity of those reporting will remain confidential to the extent possible. However, confidentiality can not be guaranteed, and will not be possible in some circumstances. Compliance issues will only be discussed with persons with an absolute “need to know.” HNE will not tolerate retaliation against any employee or agent of HNE who reports a suspected violation in good faith.

Privacy and Security Program
HNE has established a comprehensive Privacy and Security policy to protect HNE members from inappropriate use or disclosure of their protected health information (PHI). Under this policy, HNE has implemented appropriate administrative, physical, and technical safeguards to ensure the security of electronic PHI. For more information, review the  HNE Notice of Privacy Practices. 
How to File a Health Information Privacy Complaint with the US Department of Health and Human Services Office of Civil Rights
If you believe that a person, agency or organization covered under the HIPAA Privacy Rule ("a covered entity") violated your (or someone else's) health information privacy rights or committed another violation of the Privacy Rule, you may file a complaint with the Office for Civil Rights (OCR). OCR has authority to receive and investigate complaints against covered entities related to the Privacy Rule. A covered entity is a health plan, health care clearinghouse, and any health care provider who conducts certain health care transactions electronically. For more information about the Privacy Rule, please look at our responses to Frequently Asked Questions (FAQs) and our Privacy Guidance.


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