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

June 2016

GIC Product Updates Effective July 1


The 2016-2017 plan year for Harvard Pilgrim and the Group Insurance Commission’s (GIC’s) Primary Choice HMO and Independence Plan POS begins on July 1, 2016. Any updates to provider tier assignments for these products will take effect on that date. (Providers received their tier assignments in January 2016.) Because Primary Choice is a limited-network product, some of Harvard Pilgrim's contracted providers do not participate in the Primary Choice network. For additional product details, please refer to the GIC Primary Choice HMO and GIC Independence Plan POS product pages in Harvard Pilgrim’s online Provider Manual. For provider tiering information, please visit our provider GIC 2016-2017 Plan Year webpage.

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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