MassHealth recently announced updates to the MassHealth Unified Formulary, which will take effect on Aug. 11, 2025. Tufts Health Together-MassHealth MCO Plan and ACPPs utilizes MassHealth’s Unified Formulary for pharmacy medications and select medical benefit drugs, and providers should be aware that updated coverage and criteria will be available on the MassHealth Drug List on or after the effective date.
Back to Insights and Updates for ProvidersJune 2025
MassHealth updates to Unified Formulary
Tufts Health Together - MassHealth MCO Plan and ACPPs
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In this issue:
June 2025- Facility attestation functionality in Tufts Health Plan Provider Portal
- Update on referral requirement for home health agency care
- Patient consent to share SUD medical records
- Updates to observation stay authorizations
- Prior authorization for certain Part B drugs
- Get patients in for preventive services and screenings
- Coordination of benefits reminder
- Reminder: member eligibility and non-covered services
- Authorization: reminders and tips
- Point32Health Medical Necessity Guideline updates
- Point32Health medical drug program updates
- Pharmacy coverage changes
- Point32Health Allergy Testing and Treatment Payment Policy