Insights and Updates for Providers - January 2025

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PPACA coverage policy updates for 2025

We’ve made minor updates to the Harvard Pilgrim Patient Protection and Affordable Care Act Policy, and we’ve developed equivalent policies for Tufts Health Plan Commercial and Direct.

About our Products with the Painter’s and Iron Workers Unions

Harvard Pilgrim is pleased to offer shared administration plans for the Painters & Allied Trades District Council No. 35 and the Iron Workers District Council of New England/Iron Clad unions.

HEDIS MY2024 medical record requests

As required by NCQA and CMS, Point32Health will send HEDIS MY2024 medical record requests via mail to providers for all Point32Health products beginning in February 2025.

Additional news and resources

COVID-19 updates for Providers

Learn how we have adapted policies and operations to aid in managing COVID-19.

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Behavioral Health information

Explore our behavioral health section for a wealth of useful resources and info!

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Updates on our integration

Learn more about the work we’ve done and what’s ahead for Point32Health.

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