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Network Health

Pharmacy Updates

Pharmacy updates effective May 1, 2014

  • We have new quantity limits on opioid analgesics, analgesic agents, and acetaminophen
  • Buprenorphine/naloxone will have new prior authorization and quantity limit requirements
  • Information on the Massachusetts Online Prescription Monitoring Program
  • Norditropin will remain the Network Health preferred growth hormone product

Preferred Drug List Updates

Preferred Drug List changes effective May 1, 2014

  • Products added
  • Products added with quantity limits, step therapy, and prior authorization

Searchable Drug List Member Care

Help our members fight obesity

At Network Health, we know that our providers are the first line of defense in the fight against obesity. During appointments with your Network Health patients, make sure you document all the things you do to help them stay healthy.

Improving behavioral health follow-up care

The days and weeks after your patient is discharged from the hospital are a crucial time. Our goal at Network Health is to have our members see a provider for a follow-up appointment within seven days of discharge from an inpatient psychiatric hospital.

Searchable Drug List Partner Highlight

Spotlight your practice in an upcoming Provider Update!

Every day we meet with providers who are doing exceptional work helping patients and supporting their communities. Tell us what makes your practice stand out, and we may highlight your organization in a future issue of
Provider Update. We look forward to hearing from you.

Searchable Drug List What's New

Make sure you get paid

Effective for dates of service on or after May 1, 2014, any claims for psychiatric diagnostic evaluation (no medical service) using CPT code 90791 must include an HA modifier indicating you completed a Child and Adolescent Needs and Strengths (CANS) assessment.

Two plans extended again

Massachusetts has once again extended health care coverage for Commonwealth Care and former Medical Security Program (MSP) Direct Coverage/Premium Assistance enrollees.

Searchable Drug List Reminders

Covered babies are healthy babies!

A newborn baby is one of the most precious things in the world. We want to make sure your patients' babies have high-quality health care coverage as soon as they're born.

Information at your fingertips

At Network Health, we know how busy our providers are. We want to make sure you have quick and easy access to important information and tools online, 24/7.

Make sure your patients get the care they need

It's important that our members get the care they need, whether that means a quick office visit, a surgical hospital stay, or several months of rehabilitation. Network Health Together (MassHealth) members who are medically eligible qualify for up to 100 days of subacute or skilled care in a skilled nursing facility or rehab hospital.

Notification for after-hours admissions

Learn about our after-hours notification process for acute behavioral health services.

Three best practices to remember

Make sure the services you give your patients follow recommended guidelines for delivering the best possible care. Learn more about three best practices while caring for patients with certain conditions.

Searchable Drug List We're Here For You

Meet our new president

In October 2013, Network Health welcomed Christopher "Kit" Gorton, MD, as the new president of Network Health. Kit oversees the strategic direction and business operations for all aspects of our health plan.

Provider Update is our quarterly publication of updates relevant to our provider network and serves to amend our Provider Manual.

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