MassHealth recently announced updates to the MassHealth Unified Formulary, which will take effect on April 1, 2025. Tufts Health Together-MassHealth MCO Plan and ACPPs utilizes MassHealth’s Unified Formulary for pharmacy medications and select medical benefit drugs, and providers should be aware that updated coverage and criteria will be available on the MassHealth Drug List on or after the effective date.
Back to Insights and Updates for ProvidersFebruary 2025
MassHealth updates to Unified Formulary
Tufts Health Together — MassHealth MCO Plan and ACPPs
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In this issue:
February 2025- Noncovered Investigational Services MNG for Senior Products
- Initial inpatient admission notification requirement update
- Important authorization reminders for Senior Products
- New substance use disorder treatment HEDIS tip sheet
- Fee schedule updates in effect April 1
- CareLink claims runout
- Specialized Community Support Program Services 2025 updates
- Archiving select Payment Policies
- Enrollment/screening for RI Medicaid providers
- Point32Health Medical Necessity Guideline updates
- Point32Health medical drug program updates
- Pharmacy coverage changes