Updates to Medical Necessity Guidelines (MNG)
| MNG Title | Products Affected | Effective Date | Summary |
| Long-Term Services & Supports (LTSS) for Tufts Health Unify | Tufts Health Unify | May 1, 2023 | MNG updated to reflect the fact that the following codes/services may now be authorized for up to one year, as opposed to the previous limit of six months:
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| Personal Assistance Services & Supports (PASS) | Tufts Health RITogether | April 19, 2023 | In support of regulatory guidance from the Rhode Island Executive Office of Health and Human Services, prior authorization is no longer required for the screening and assessment codes T1023 and T1028. |
| Genetic and Molecular Diagnostic Testing for Tufts Health Direct, Tufts Health Together, Tufts Health RITogether, Tufts Health Unify | Tufts Health RITogether | April 19, 2023 | In support of state guidance pertaining to coverage of biomarker clinical laboratory services, CPT codes 81538, 81539, and 0174U are now covered, with prior authorization, for Tufts Health RITogether members. |
| Therapeutic Lenses | Tufts Health Plan commercial, Tufts Health Public Plans | June 1, 2023 | Annual review, no changes. |
| Laser Vision Correction Surgery | Tufts Health Plan commercial, Tufts Health Public Plans | June 1, 2023 | Annual review, no changes. |
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