One Care training for Tufts Health Unify
Complete the required two track training on the One Care program.
Insights and Updates for Providers
July 2024
Urine Drug Testing Payment Policy integration
Urine Drug Testing coverage and payment policy updates.
SNF submission of SC-1 form for MassHealth members
SNFs must submit an SC-1 form timely to avoid claim denials.
MassHealth nursing facility rate add-on codes
New reimbursement for nursing facility rate add-on codes.
Identifying alternate providers when terminating from the network
When terminating from network, please identify two alternate available providers.
Tufts Health Unify becomes Tufts Health One Care
Effective Jan. 1, 2024, Tufts Health Unify is changing its name to Tufts Health One Care.
Telehealth billing reminders and MassHealth guidance
Reminders on adhering to billing requirements identified in MassHealth bulletins 355, 364, and 95.
Enrollment/screening process for Medicaid providers
Providers who render services for Medicaid members must be screened by and enrolled with the appropriate state Medicaid agency.
2024 Part B Step Therapy program
New requirements will apply to the 2024 Part B Step Therapy program.
Point32Health billing updates
Point32Health is making updates to our billing requirements for certain products.
MassHealth billing reminders
While MassHealth is working to renew member eligibility, there may be several eligibility updates occurring at this time. In MassHealth All Provider Bulletin 372, MassHealth shared important reminders of billing responsibilities and billing for retroactively reinstated members.
One Care training requirement and resources for Tufts Health Unify
We offer convenient training resources in the Tufts Health Unify Provider Trainings section of the Tufts Health Plan provider website, in support of Executive Office of Health and Human Services and CMS requirements that providers complete training on the One Care program.
Billing for specialized Community Support Program services
This article provides an overview of MassHealth’s Community Support Program (CSP) Services, available to members of the Tufts Health Plan Together, Tufts Health Unify, and Tufts Health Plan Senior Care Options products, as well as information about billing and notification requirements.
MassHealth guidance on provider-to-provider e-consults
Point32Health has updated our applicable Tufts Health Plan systems, as well as the Tufts Health Plan Evaluation and Management Professional Payment Policy, to reflect MassHealth guidance on coverage of provider-to-provider e-consults.
Reminder of telehealth billing requirements
We’re offering some reminders and clarifying information on billing for telehealth services for Tufts Health Plan Senior Care Options, Tufts Health Together, and Tufts Health Unify members.