MassHealth recently announced updates to the MassHealth Unified Formulary, which will take effect on May 12, 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 ProvidersMarch 2025
MassHealth updates to Unified Formulary
Tufts Health Together — MassHealth MCO Plan and ACPPs
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In this issue:
March 2025- Content centralized to Point32Health provider website
- Skilled nursing care: prior authorization update
- New medication adherence Star Measure tip sheet
- Commercial migration reminder: avoid duplicate claims
- Insourcing chronic kidney disease care management
- Reminder: One Care training requirement
- Members’ rights and responsibilities
- Coordinating care for medical and behavioral health
- Pharmacy split fill program for select oral oncology drugs
- Correct coding reminders
- Point32Health Medical Necessity Guideline updates
- Point32Health medical drug program updates
- Pharmacy coverage changes