Fee schedule updates in effect April 1
February 2026| Harvard Pilgrim Health Care Commercial| Tufts Health Plan Commercial
Point32Health’s fee schedules are reviewed regularly to ensure that they are comprehensive and consistent with industry standards.
We would like to offer a reminder that updates to our Harvard Pilgrim Health Care Commercial professional fee schedules, as well as our integrated Point32Health behavioral health fee schedule for both Harvard Pilgrim and Tufts Health Plan, will take effect on April 1, 2026.
Please note that the Centers for Medicare and Medicaid Services (CMS) is delayed in releasing updates to their laboratory codes and associated rates, which Point32Health reflects in our updated base fee schedules. If any fee schedule changes are necessitated when CMS releases the lab code rates, we will issue another communication to inform the network in an upcoming issue of Insights and Updates for Providers.