Insights and Updates for Providers - December 2024
Modifiers and reminders for home infusion therapy
We’re offering some reminders regarding the reporting of home infusion therapy services. Additionally, as of Feb. 1, 2025, please include modifier SH or SJ as appropriate.
Reminder: QMB members exempt from Part A/B cost-sharing
We’re updating our rules and requirements associated with appeals submission and timely filing limits for Tufts Health Public Plans claims.
Pharmacy coverage changes for 2025
As a reminder, providers are prohibited from charging QMB members for Medicare cost-sharing for covered Part A/B services.
Additional news and resources
COVID-19 updates for Providers
Learn how we have adapted policies and operations to aid in managing COVID-19.
Behavioral Health information
Explore our behavioral health section for a wealth of useful resources and info!
Updates on our integration
Learn more about the work we’ve done and what’s ahead for Point32Health.