Insights and Updates for Providers

March 2023

Billing for telehealth

Tufts Health Plan SCO  |  Tufts Health Together  |  Tufts Health Unify

Tufts Health Plan is making some updates to our payment policies related to the submission of professional claims for services provided via telehealth, and also reprocessing certain previously denied claims to be reimbursed, in accordance with MassHealth’s MCE Bulletin 95.

Updates and reminders

Tufts Health Plan SCO  |  Tufts Health Public Plans  |  Tufts Medicare Preferred

Read more for helpful updates and reminders to keep in mind this month. Topics include required data elements for coordination of benefits claims, opioid treatment performance specifications, and reminders regarding stretchers and the standard form for chemotherapy prior authorization.

Home infusion claims update

Tufts Health Plan Commercial  |  Tufts Health Plan SCO  |  Tufts Medicare Preferred

Effective for dates of service beginning April 1, 2023, Tufts Health Plan is insourcing claims pricing and processing for home infusion services for Tufts Health Plan Commercial, Tufts Medicare Preferred and Tufts Health Plan Senior Care Options.

Acute behavioral health services for Tufts Health Plan

Tufts Health Direct  |  Tufts Health Plan MA Commercial products  |  Tufts Health Plan SCO  |  Tufts Health Together  |  Tufts Health Unify

Tufts Health Plan has updated the notification requirement for acute behavioral health services updated from two to three business days for Tufts Health Plan Massachusetts Commercial products, Tufts Health Together, Tufts Health Unify and Tufts Health SCO.