A streamlined web experience is on the way!
We’re working on delivering a more seamless Point32Health provider website.
Insights and Updates for Providers
January 2024
2024 Physician Group Honor Roll announced
53 physician groups named to Harvard Pilgrim’s Physician Group Honor Roll.
Introducing mindfulness webpage for healthcare providers
Our Mind the Moment for Providers program supports healthcare professionals and staff.
Washington Bridge (I-195) westbound closure
Bridge closure in Providence may impact patients’ ability to reach appointments.
Expanding our kidney health management program
Monogram Health program includes Tufts Health Direct members as of Jan. 1.
RI Medicaid screening deadlines
Complete Rhode Island Medicaid screening and enrollment prior to Feb. 1, 2024.
Reminder: Psychological testing and TMS
Attach Psychological and Neuropsychological Assessment and/or rTMS form(s) to prior authorization requests.
Behavioral Health hub for members
New resource for Harvard Pilgrim members regarding behavioral health topics.
Reminder: Model of Care Training
Tufts Health Plan SCO providers: complete Model of Care training by Jan. 30.
Important tips to minimize denials
Tips for a smooth Harvard Pilgrim commercial migration process and accurate claims reimbursement.
Ovia Health’s Family & Maternal Health Solutions
Ovia Health now available to Tufts Health Together and Tufts Health RITogether members.
Reminder: Referrals for USFHP should be updated
Referrals to specialists for USFHP members expire Dec. 31, 2023; new referrals are required.
How to best reach contacts via email
To ensure your emails reach us, please use the @point32health.org domain.
Billing for COVID-19
Modifier CS should no longer be used and claims with it may deny.
Maine mandate and new coverage for donor breast milk
Beginning Jan. 1, donor breast milk will be covered for eligible infants in Maine.
Join us for a training
We’re offering several interactive webinars throughout the month of January.
Help us keep directory information up to date
Review and update provider information at least quarterly to avoid directory suppression.
Point32Health Medical Necessity Guideline updates
Read more to review updates to Point32Health Medical Necessity Guidelines.
Pharmacy program reminders
Point32Health would like to offer some reminders pertaining to our Pharmacy program.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
Pharmacy coverage changes
Pharmacy coverage changes for various Point32Health products.
MassHealth updates to Unified Formulary
MassHealth recently announced the following updates to their Unified Formulary.