As we announced in the May issue of the newsletter, after careful consideration with MassHealth, Point32Health has decided to no longer offer Tufts Health Together MassHealth MCO, effective Jan. 1, 2026. If you are a provider who participates in the Tufts Health Together MCO, please keep the following in mind.
Please note, as well, that we will continue to offer our Tufts Health Together Accountable Care Partnership Plans (ACCPs, also known as ACOs) with Cambridge Health Alliance and UMass Memorial Health. You should continue to provide services to these members in the future.
If a Tufts Health Together MCO member asks you questions about the change
- This change does not impact the member’s MassHealth eligibility. Tufts Health Together MCO will continue to provide them with care through Dec. 31, 2025.
- There is no action for members to take currently. MassHealth will ensure that members are assigned to a new plan and can continue receiving the services that they are eligible for as of Jan. 1, 2026.
- Tufts Health Together has sent initial information to members and MassHealth will mail additional details in Fall 2025. This will include information about their new plan assignment based on their PCP’s participation. In the event the member wants to switch plans, MassHealth will also provide information on how to do so.
- The most crucial action for members right now is to update their contact information with MassHealth to ensure they receive this important notice. Patients can update their contact information via their Health Connector account at mahealthconnector.org or by calling MassHealth at 800-841-2900 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m.
- If members have additional questions, please direct them to contact Tufts Health Together Member Services at 888-257-1985.
If you are a Tufts Health Together MCO PCP
- Please work with MassHealth and/or other MassHealth plans on your continued participation.
- MassHealth plans to assign impacted members to the health plan that includes their primary care practice, ensuring they can continue their care with their current PCP. To ensure a smooth transition, be sure that your practice is actively exploring MassHealth plan participation options now.
- Explore MassHealth’s online resources for providers, including these pages where you can learn more about all MassHealth ACOs and MCOs, MassHealth’s Primary Care Clinician (PCC) plan, and how to apply to participate in the PCC plan.
If you are a specialist for Tufts Health Together MCO members
- As of Jan. 1, 2026, the Tufts Health Together MCO product will terminate. Prior members will be reassigned by MassHealth to a new ACO, MCO, or PCC plan, based on the participation of the member’s current PCP.
- Ensure you have up-to-date information on the member’s plan as of Jan. 1, 2026. Please check member eligibility in MassHealth’s Eligibility Verification System (EVS) to learn which MassHealth plan they will be enrolled in, and work with their new health plan accordingly.
- Tufts Health Together MCO members who are transitioned to a new MassHealth plan for Jan. 1 are entitled to a 90-day continuity of care period. As a result, if you don’t participate in the new plan, you may still be able to provide specialty care for these members through the end of March 2026.
In addition, as part of the transition, Tufts Together MCO and MassHealth will provide the member’s new plan with prior authorizations and prior approvals for services, which the new plan is required to honor through the duration of such prior authorizations and prior approvals. If the member’s new MassHealth plan chooses to modify or terminate a prior authorization and prior approval, then the new plan shall treat such modification or termination as an adverse action and follow the required appeal protocols, including notification to the member and the provider in question.
If you are a Specialist for Tufts Health Together with Cambridge Health Alliance and UMass Memorial Health (UMMH) ACO members
We will continue to offer Tufts Health Together ACOs with Cambridge Health Alliance and UMass Memorial Health. Please continue to provide services for these ACO members as you normally would.