Neighborhood Health Plan
Neighborhood Health Plan Provider News
In This Issue
Online Authorization & Referrals
Reminder: Completion of HCAS Provider Technology Adoption Survey
Hospital Quarterly Admissions Report
My NHP Profile

Looking for a copy of a previous E-Newsletter? All prior editions are located at this link.


Click here to quickly access our online Provider Manual.

 

 

Clinical Coverage Criteria are now available!  Please click here to access.


To view all NHP Provider Payment Guidelines just click here!



Stay Informed!

 

Not getting NHP updates directly?

 

Click here to join our e-news Provider 

community and also view archived versions of these monthly provider updates!

August, 2012
Provider Banner
Greetings!

Greetings!

Please find below a list of important Neighborhood Health Plan updates.

Online Authorization & Referrals Implementation  

Please be aware, effective September 10, 2012, Prior Authorizations and Referrals for all NHP members must be submitted through NHPNet. Only requests for benefit exceptions, out of network providers and some services can be initiated by fax.

If you haven't done so already, we strongly encourage you and your staff to use this additional time to register for the portal at the following link: www.nhpnet.org.
 
As a reminder, specialty referrals will be required for all services/specialists except the following: 
  • A Gynecologist or Obstetrician for routine, preventive, or urgent care
  • Family planning services provided by any MassHealth or Commonwealth Care provider
  • Outpatient and diversionary Behavioral Health Services
  • Emergency services

Reminder: Completion of HCAS Provider Technology Adoption Survey

As previously communicated in the June E-Newsletter, health plans are required to collect statewide provider technology use information in order to meet All-Payer Claims Database requirements established by the Massachusetts Division of Health Care Finance and Policy. To support its member health plans* to comply with the Division's requirement, HealthCare Administrative Solutions (HCAS) has extended the submission period for completing the survey.

 

We strongly encourage all providers to complete the survey at your first convenience. The survey, which takes only a short time to complete, assesses providers' use of the following technologies:

  • Electronic Health Records
  • Electronic Prescribing Systems
  • Practice Management Systems
  • Patient Portals
  • Participation in information exchanges to transmit health data (such as transmission of immunization data, test results, patient allergy information)
  • Provider use of eVisits

The information collected through this survey process will be submitted to the health plans participating in this project and to the Massachusetts Division of Health Care Finance and Policy.

 

For more information and to access and complete the Provider Technology Adoption Survey, please visit www.hcasma.org/Survey.aspx 

 

Please note that large group practices and hospitals may elect to submit survey responses for all of their providers via a spreadsheet, rather than completing the online survey for each individual provider. This spreadsheet and accompanying group authorization and release form are also available at www.hcasma.org/Survey.aspx.

 

*Organizations participating in this survey include: Blue Cross Blue Shield of Massachusetts, Boston Medical Center HealthNet Plan, Fallon Community Health Plan, Harvard Pilgrim Health Care, Health New England, Neighborhood Health Plan, Network Health and Tufts Health Plan.

Hospital Quarterly Admissions Report

The current Quarterly Hospitals Admission Report is now available on NHPNet. Please logintoday to retrieve this information.
Thank You!
On behalf of all of us at Neighborhood Health Plan, we thank you for the excellent care provided to our members and the continued collaboration extended to our staff.

 

Provider Relations Department

Neighborhood Health Plan

prweb@nhp.org 

Your NHP Profile Information


 

  

Please Note: the information above is based on data provided to NHP and voluntarily updated by the recipient. To update your contact information click here.