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

June 2016

Highlights
Clinical Policy and Prior Authorization Updates

Harvard Pilgrim regularly reviews clinical literature, best practices, and our existing clinical policies; based on this information, Harvard Pilgrim creates new policies or updates existing ones.

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Serum IgG Allergy Testing Medical Policy Updated

After a review of our Serum IgG Allergy Testing Medical Policy, Harvard Pilgrim determined that while the policy included codes for initial IgG allergen testing for venom immunotherapy, some covered codes for subsequent testing were inadvertently excluded when the policy was updated to include ICD-10 coding.

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Substance Abuse Resources and New MA Opioid Bill

As we have noted in an ongoing series of articles in Network Matters, the current opioid crisis has been increasingly devastating to communities across the nation.

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Early Intervention Provider Fee Schedule Update

Effective September 1, 2016, Harvard Pilgrim is updating our standard fee schedule for early intervention services in Massachusetts, Rhode Island, New Hampshire, and Maine.

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HPHCURRENT EVENTS

GIC Product Updates Effective July 1

Harvard Pilgrim’s Telemedicine Coverage

CT Providers: Member Incentive for Annual Wellness Visit

CLINICIAN CORNER

Clinical Policy and Prior Authorization Updates

Serum IgG Allergy Testing Medical Policy Updated

Substance Abuse Resources and New MA Opioid Bill

OFFICE ASSISTANT

Early Intervention Provider Fee Schedule Update

Notice Required For Skilled Nursing Facility Ownership Changes

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator