Upcoming training opportunities
We invite you to join one of our many training sessions for you and your office staff.
Insights and Updates for Providers
September 2024
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.
New 2024 CPT and HCPCS codes
2024 CPT and HCPCS codes accepted for Jan. 1, 2024.
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.
Help us keep directory information up to date
Review and verify the accuracy of demographic data at least quarterly.
Well-child visits and vaccines for adolescents
Learn more about vaccines and screenings recommended annually for patients between ages 12-21.
Pharmacy Coverage Changes
Read more for information on updates to Point32Health’s Pharmacy prior authorization programs.
Point32Health Medical Necessity Guideline updates
Review changes and updates to Point32Health’s Medical Necessity Guidelines (MNGs), information about newly developed MNGs, and more.
Point32Health medical drug program updates
Review changes and updates to Point32Health’s medical drug program.
Integrated Point32Health payment policies
Point32Health has developed some integrated Point32Health Payment Policies.