As previously announced, two Tufts Health Together plans have been selected by MassHealth to participate in a new value-based sub-capitation accountable care organization (ACO) beginning April 1, 2023. Here are some reminders and information to note:
- Tufts Health Together with Cambridge Health Alliance is a continuing collaboration and members who have a primary care provider (PCP) who is part of Tufts Health Together with Cambridge Health Alliance will continue to be enrolled in this ACO plan.
- Tufts Health Together with UMass Memorial Health is a new collaboration. Members who have a PCP who is part of Tufts Health Together with UMass Memorial Health are enrolled in this ACO plan. To support members’ transition to an in-network provider, there is a 90-day continuity of care period. Members can visit our online provider directory to search for an in-network clinician.
- For information on coverage and prior authorization requirements, please refer to the Tufts Health Together medical and behavioral health benefit summaries.
- Use MassHealth’s Eligibility Verification System (EVS) for the latest member eligibility information. Members who have questions about their eligibility may contact MassHealth at 800-841-2900.
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