Updates to Harvard Pilgrim’s standard home care seasonal influenza vaccine fee schedule will take effect on Oct. 1, 2025. To request an updated fee schedule, please call the Provider Service Center at 800-708-4414.
Back to Insights and Updates for ProvidersAugust 2025
2025 Home Care Seasonal Flu Vaccine Fee Schedule
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In this issue:
August 2025- Elevidys moved to non-covered due to FDA concerns
- Telehealth flexibilities for Medicare members
- Expansion of vendor program for spine and interventional pain management services
- Upcoming coverage changes for diabetic testing supplies
- Updates to CBHI-FIT program Medical Necessity Guidelines
- Preventive screenings at-home for select members
- New open access product offerings
- Updates to Targeted Case Management Services’ ICC Medical Necessity Guidelines
- Behavioral Health and substance use disorder tools and resources
- Reminder: One Care training requirement
- New Point32Health Hospice Payment Policy
- Coordinating care for medical and behavioral health
- Reducing 30-day readmissions
- Initiation and engagement of substance use disorder treatment (IET)
- Point32Health Medical Necessity Guideline updates
- Point32Health medical drug program updates
- MassHealth updates to Unified Formulary
- Pharmacy coverage changes