Insights and Updates for Providers - December 2024

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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.

View COVID-19 resources

Behavioral Health information

Explore our behavioral health section for a wealth of useful resources and info!

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Updates on our integration

Learn more about the work we’ve done and what’s ahead for Point32Health.

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