Point32Health to acquire Health New England
Point32Health signed definitive agreement with Baystate Health to acquire Health New England.
Insights and Updates for Providers
March 2024
Our response to Change Healthcare’s cybersecurity incident
Update on Point32Health’s response to Change Healthcare’s cybersecurity incident.
Provider data, enrollment, and credentialing email address
We’re consolidating email addresses for submission of information to Tufts Health Plan.
User role names change in HPHConnect
We’re updating the names of some of the user roles in HPHConnect.
Oral formula authorization request update
Clarification on how to request authorization for oral formula.
Reminder: Join us for Dr. Jud Brewer’s Hunger Habit workshop!
Workshop on mindfulness and eating for health care professionals with Dr. Jud Brewer!
Join us in advancing health equity
Tufts Health Together providers: join our MassHealth Health Equity committee!
Living Well program offers free resources to all
Point32Health’s Living Well program offers patients resources for healthier living.
Reminder: Step therapy protocols and exceptions
Massachusetts law now requires mandatory exceptions in step therapy protocols.
CMS Medicare Advantage provider directory audits
Be prepared for CMS’s Medicare Advantage online provider directory reviews.
Help us keep directory information up to date
Review and verify the accuracy of demographic data at least quarterly.
Billing update for Specialized Community Support Program Services
Billing update for providers of Specialized Community Support Program Services
Coverage update for mental health wellness examinations
Annual mental health wellness exams covered at no cost for certain members.
Billing for lead screening
Lead screenings for ages 0-6 years covered with no member cost share.
Point32Health Medical Necessity Guideline updates
Read more to review updates to Point32Health Medical Necessity Guidelines.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
MassHealth updates to Unified Formulary
MassHealth recently announced the following updates to their Unified Formulary.
Pharmacy coverage changes
Pharmacy coverage changes for various Point32Health products.
Upcoming training opportunities
We’re offering several interactive webinars throughout the month of March.