Back to Insights and Updates for ProvidersFebruary 2024

Point32Health non-emergent ambulance reimbursement

Harvard Pilgrim and Tufts Commercial  |  Tufts Health Direct  |  Tufts Health One Care  |  Tufts Health Plan Commercial  |  Tufts Health Plan SCO  |  Tufts Health RITogether  |  Tufts Health Together  |  Tufts Medicare Preferred

We’ve developed an integrated Point32Health Ambulance and Transportation Services Payment Policy — which will replace the existing Harvard Pilgrim Ambulance Transport Payment Policy and Tufts Health Plan Ambulance and Transportation Services Payment Policy.

As a result, effective for dates of service beginning April 1, 2024 for Tufts Health Plan products, we will no longer reimburse non-emergent ambulance services provided to a member during an inpatient or outpatient admission. This billing and reimbursement change will align the experience with the methodology currently in place today for Harvard Pilgrim commercial products, as these non-emergent ambulance services are included as part of the facility reimbursement and should be billed to the facility.

For more information, please refer to Point32Health’s Ambulance and Transportation Services Payment Policy.

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