One of Point32Health’s foremost priorities is continuing to deliver an improved and streamlined provider experience. We’re always identifying opportunities to simplify your administrative engagement with us so you can focus on providing exceptional care to our member population. To that end, we have a few new integrated webpages to announce.
Our Point32Health provider website now has a unified Prior Authorization section, which provides rapid access to Medical Necessity Guidelines, Pharmacy coverage criteria, and other information and resources needed to determine prior authorization requirements and request authorizations.
Within this section, we’ve developed one integrated Forms page for the forms you use the most for all of your Harvard Pilgrim Health Care and Tufts Health Plan patients (with the exception of our StrideSM (HMO/HMO-POS) Medicare Advantage plan, which we recently made the decision to discontinue, effective Jan. 1, 2025.) Rather than navigating between multiple legacy websites to reference forms for members of our various plans under the Point32Health umbrella, you can now find everything you need in one place — including important clinical and Pharmacy forms; behavioral health forms; forms for submitting requests for referrals, authorizations, and notifications; and more.
In addition, our new Vendor Programs page identifies key vendor partners and the services and Point32Health products for which they provide review.
As a reminder, our Point32Health provider website is also home to the Policies and Manuals page, where you can access the most vital resources you leverage for treating your Harvard Pilgrim and Tufts Health Plan patients.
Our work of streamlining provider experience is ongoing, and we’ll continue to move remaining content from the legacy brand websites to the Point32Health provider website in the coming months. Please be sure to check back in for further updates in future issues of Insights and Updates for Providers!