We announced in the May 2022 issue of the former Tufts Health Plan-specific provider newsletter that all durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) providers servicing Tufts Health Public Plans Massachusetts members were moving onto the Integra’s Partners Holdings, Inc. (our DMEPOS benefit manager) network.
Integra will soon begin to assume management of the DMEPOS provider network for Point32Health’s Senior Products, starting on July 1, 2023 for Tufts Medicare Preferred and Tufts Health Plan Senior Care Options, and on Sept. 1, 2023 for Harvard Pilgrim Health Care StrideSM (HMO)(HMO-POS) Medicare Advantage.
We contacted affected DMEPOS providers by letter to inform them that they have the option to join the new Integra DMEPOS network, and must do so in order to continue servicing these members. Any member whose DMEPOS provider elects not to join the Integra network, or does not meet the network’s credentialing and participation requirements, will be transitioned to an in-network provider. If one or more of your patients are transitioned to an Integra provider as a result of their previous DMEPOS provider opting not to join the network, you may receive a call from the new Integra provider to request copies of clinical documentation.
Whenever you are referring a patient for DMEPOS services, please review Harvard Pilgrim or Tufts Health Plan‘s Find a Doctor search tool, which will be updated regularly as providers are contracted into Integra’s network, to ensure that you are referring the patient to an in-network provider.
If you are a DMEPOS provider and you wish to join Integra’s network, we encourage you to do so by submitting a ‘Request to join the network’ inquiry via the webform on Integra’s website.
Audrey Kleinberg,
Director, Provider Relations & Communications
Annmarie Dadoly,
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,
Writers
Kristin Edmonston,
Production Coordinator
Kristina Cicelova,
Graphic Designer