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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

June 2018

Early Intervention Provider Fee Schedule Update


Effective Sept. 1, 2018, Harvard Pilgrim is updating our standard fee schedule for early intervention services in Massachusetts, Rhode Island, New Hampshire, and Maine. Beginning Aug. 15, 2018, providers may request sample fee schedules by calling the Provider Service Center at 800-708-4414.

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HPHCURRENT EVENTS

New Program Rewards Medicare Advantage Patients for Healthy Behaviors

GIC Product Updates Effective July 1

Introducing New Hampshire POS Open Access Plans

Harvard Pilgrim Grant Announcements

CLINICIAN CORNER

Coverage of Higher Dosage of Lupron Depot for Breast Cancer

Benign Prostatic Hypertrophy Medical Policy Updates

Cryotherapy for Prostate Cancer Requires Prior Authorization

Coverage of Fecal Calprotectin Testing

Lutathera Covered with Prior Authorization

Updates to TMJ Prior Authorization Policy

Prior Authorization No Longer Required for Cologuard Test

Follow-up WebEx on Reducing Avoidable Hospital Admissions

OFFICE ASSISTANT

Negative Balance and Refund Process Enhancements

Enhanced Processes and Communication with Providers

Keep Panel Status and Demographic Information Up to Date

Early Intervention Provider Fee Schedule Update

2018 Home Care Seasonal Flu Vaccine Fee Schedule

Documenting Deep Vein Thrombus and Pulmonary Embolism

PUBLICATION INFORMATION

Robert Farias,
Senior Vice President, Corporate Network Strategy

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator