Back to Insights and Updates for ProvidersNovember 2023

Point32Health’s access to care standards

All products

One of Point32Health’s fundamental priorities is ensuring the best possible access to care for the members we serve through our Harvard Pilgrim Health Care and Tufts Health Plan products. To that end, we maintain policies for our Tufts Health Plan and Harvard Pilgrim plans that outline network practitioner standards regarding clinician availability, timeliness of appointments, and telephone accessibility, among other things.

Please refer to the policies identified below to review these standards and requirements.

  • Harvard Pilgrim Health Care:
    • Practice Site Standards policy, Network Operations & Care Delivery Management section of our commercial Provider Manual
    • Access to Care policy, StrideSM (HMO)/(HMO-POS) Medicare Advantage Provider Manual
  • Tufts Health Plan:
    • Medical Care Access Standards for Primary Care Offices section of the Providers chapter of the Commercial Provider Manual
    • Provider Access Standards section of the Providers chapter of our Tufts Health Public Plans Provider Manual
    • Medical Care Access Standards for Primary Care section of the Providers chapter of our Senior Products Provider Manual

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Stephen Wong,

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