Point32Health is pleased to share that for our Tufts Health RITogether members, providers will soon have more electronic functionality than ever before. Beginning on Oct. 4, 2023, you will be able to submit notifications and prior authorization requests for these members — both medical and behavioral health — in Tufts Health Plan’s secure provider portal.
This functionality is available through MHK (formerly MedHOK), the medical management tool accessed from within the secure portal.
We encourage you and your office staff to take advantage of this convenient capability, which automatically directs requests to the Utilization Management team for review. It may also reduce wait times on determinations (when all information is included in the request).
Other benefits include:
- Most direct way to submit requests, eliminating the risk of a misdirected fax
- Allows providers to attach clinical documentation and notes
- Providers can view and confirm requests in the system
- Updates in real time — so you can see determinations as soon as they are made
- On the spot determinations for certain services
Please note, while online notifications and prior authorization requests are available for Tufts Health Plan commercial, Tufts Health Medicare Preferred, Tufts Health Direct, and Tufts Health Together members, they are not currently available for Tufts Health Unify or Tufts Health Plan Senior Care Options members. Requests for these members should continue to be submitted as they are today.
For more information, including step-by-step instructions on how to submit notifications and prior authorization requests, please refer to the MHK Portal User Guide.
If you have not yet registered for the secure Provider portal, instructions are available on our website.
Audrey Kleinberg,
Director, Provider Relations & Communications
Annmarie Dadoly,
Senior Manager, Provider Communications
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