Extension of authorization waiver for admission to MA sub-acute and rehab facilities
We’re extending the authorization waiver for admissions to sub-acute and rehab facilities.
Insights and Updates for Providers
April 2024
Reminder: balance billing prohibited by Point32Health
As a reminder, Point32Health does not allow balance billing of our members.
Medication for Opioid Use Disorder: buprenorphine resources and training
We offer resources and guidelines for prescribing buprenorphine for opioid use disorder.
Importance of screening for unhealthy alcohol use
Screen for unhealthy alcohol/substance use in the primary care setting.
Point32Health Medical Necessity Guideline updates
Read more to review updates to Point32Health Medical Necessity Guidelines.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
Point32Health integrates Acupuncture Payment Policy
We have created an integrated Point32Health Payment Policy for Acupuncture.
Upcoming training opportunities
We invite you to join one of our many training sessions for you and your office staff.
Point32Health to acquire Health New England
Point32Health signed definitive agreement with Baystate Health to acquire Health New England.
Our response to Change Healthcare’s cybersecurity incident
Update on Point32Health’s response to Change Healthcare’s cybersecurity incident.
Reminder: Join us for Dr. Jud Brewer’s Hunger Habit workshop!
Workshop on mindfulness and eating for health care professionals with Dr. Jud Brewer!
Living Well program offers free resources to all
Point32Health’s Living Well program offers patients resources for healthier living.
Help us keep directory information up to date
Review and verify the accuracy of demographic data at least quarterly.
Point32Health Medical Necessity Guideline updates
Read more to review updates to Point32Health Medical Necessity Guidelines.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
Upcoming training opportunities
We’re offering several interactive webinars throughout the month of March.
Our streamlined web experience is here!
Point32Health’s upgraded provider website, with policies and resources all in one place!
Waiver of authorization for admission to MA sub-acute and rehab facilities
Temporary waiver of authorizations for admissions to certain Massachusetts facilities.
Join us for Dr. Jud Brewer’s hunger habit workshop!
Workshop on mindfulness and eating for health care professionals with Dr. Jud Brewer!
Please respond promptly to provider TIN requests
Please respond promptly to outreach from Point32Health requesting validation of TIN and other info.
New HEDIS tip sheet for EED measure
We’ve developed new HEDIS® tip sheets for your practice.
Upcoming training opportunities
We’re offering several interactive webinars throughout the month of February.
Point32Health Medical Necessity Guideline updates
Read more to review updates to Point32Health Medical Necessity Guidelines.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
A streamlined web experience is on the way!
We’re working on delivering a more seamless Point32Health provider website.
Introducing mindfulness webpage for healthcare providers
Our Mind the Moment for Providers program supports healthcare professionals and staff.
How to best reach contacts via email
To ensure your emails reach us, please use the @point32health.org domain.
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.
Point32Health medical drug program updates
New and updated Point32Health medical drug prior authorization programs.
Resources for behavioral health providers
Have you visited our new behavioral health webpage yet? If not, we encourage you to do so today.
HEDIS MY2023 medical record requests
Learn more about the importance of responding to HEDIS medical record requests.
Register for upcoming trainings
Join an upcoming provider training in December.
Clinical practice guidelines updates
Point32Health maintains a number of clinical practice guidelines, which you can now find on the Clinical Practice Guidelines section of our provider website.
Reducing avoidable emergency department use
Supporting providers to combat preventable emergency department visits.
Point32Health Medical Necessity Guideline Updates
Medical necessity guideline updates.
Point32Health medical drug program updates
New and updated medical drug prior authorization programs.
Behavioral Health: New webpage and insourcing occurs Nov. 1
We’ve insourced behavioral health and launched a new behavioral health webpage.
You’re invited to a claims consultation in Connecticut!
Claims consultation event coming to Connecticut on Nov. 8.
Join a November training
Upcoming provider trainings: referral and authorization, behavioral health, and more!
New HEDIS® tip sheets for WCV and FUA measures
We’ve developed new HEDIS® tip sheets for your practice.
Reminder on COVID-19 coverage
Reminders for providers regarding our COVID-19 coverage.
Integrated payment policies and POS code update
Introducing new integrated Point32Health payment policies.
New and updated Medical Necessity Guidelines
New and updated Medical Necessity Guidelines for Jan. 1, 2024.
Point32Health’s access to care standards
Access to care policies for Tufts Health Plan and Harvard Pilgrim.
Register for a claims consultation event near you!
Claims consultation events coming in RI, MA, NH, CT, and ME.
Introducing Our Chief Medical Officer Glenn Pomerantz, MD, JD
Point32Health has appointed Glenn Pomerantz, MD, JD as our new Chief Medical Officer.
New HEDIS® tip sheets now available
Point32Health has developed new tip sheets for three HEDIS measures.
BH screening for children and adolescents in the primary care setting
Reminder: it’s important to offer children routine behavioral health screening.