We’re pleased to share that we have implemented new functionality in the Tufts Health Plan secure Provider Portal, which allows Tufts Health Plan facilities to review their provider data and report necessary changes.
As we routinely remind our Point32Health provider network, it’s important for providers to review and revalidate their information at least every 90 days to help ensure the accuracy of our provider directory, and failure to do so may result in suppression from the directory until this information is validated.
While changes to data are reported via the CAQH Provider Data Portal for individual practitioners who have implemented it, the CAQH process doesn’t support facilities. Similar to the existing tool offered for Harvard Pilgrim contracted facilities in HPHConnect, the new Tufts Health Plan facility attestation functionality allows Senior Account Administrators with at least one facility to provide Tufts Health Plan with information critical to our provider directory (e.g., hours of operation, phone numbers, languages spoken by staff) — and provides a mechanism to review and confirm the accuracy of this information on a regular basis.
Eligible users can access the facility attestation functionality via the link titled “Provider Directory Information” on the Provider Portal homepage, which will direct them to a summary screen showing all NPIs under the account with their current status/whether they have any attestations due soon.
After selecting a specific NPI, users will be directed to a screen that displays each address/location for the NPI chosen, with a number of questions related to general and contact information; staff and accessibility; and special experience, skills, and training.
Please keep in mind that these questions will need to be answered for each address/location separately. After answering the questions for all locations the NPI has, users will need to attest to the accuracy of the data by clicking on the “Attest to NPI Data” button. Users will only need to answer the questions for each location the first time they use the tool. Following that, users can simply log in and attest to the accuracy of their data at a minimum of every 90 days.
We’ve updated our Tufts Health Plan Secure Provider Portal User Guide with step-by-step instructions on how to navigate this new facility attestation functionality. As a reminder, we also have a Completing the Provider Data Attestation for Facilities User Guide offering similar guidance for the equivalent Harvard Pilgrim process on HPHConnect.