Back to Insights and Updates for ProvidersFebruary 2023

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

In response to recent changes made under Massachusetts law, Tufts Health Plan has updated the notification requirement for acute behavioral health (BH) services for Massachusetts Commercial products, Tufts Health Together, Tufts Health Unify and Tufts Health SCO. The timeline for urgent/emergent admission notification has been updated from two business days to three business days. For definitions of acute BH services please refer to Massachusetts Division of Insurance Bulletin 2023-07. Through June 30, 2023, Optum will continue to coordinate behavioral health services for Harvard Pilgrim Health Care.

Additionally, for more information, please refer to the Inpatient and Intermediate Behavioral Health/Substance Use Disorder Facility Payment Policy for Tuft Health Plan Commercial products and Inpatient and Intermediate Behavioral Health/Substance Use Disorder Facility Payment Program for Tufts Health Public Plans.


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