If you are a provider of Targeted Case Management Intensive Care Coordination (ICC) services, please be aware that MassHealth recently delivered updated guidance on notification and authorization requirements for MassHealth members, including Tufts Health Together members.
Effective for dates of service beginning Oct. 1, 2025:
- Notification will be required for the first 45 days of service and must be submitted within three business days from the first date of service.
- Prior authorization must be obtained for coverage to continue beyond the first 45 days of service.
The Intensive Care Coordination (ICC) program facilitates care planning and coordination for MassHealth youth (under the age of 21) living with serious emotional disturbance (SED). Designed to foster a collaborative relationship among youth, their families/guardians, and the support systems who serve them, ICC works to ensure that educational, social, and medically necessary services are delivered in an ethnically, culturally, and linguistically relevant manner. To learn more about the program, refer to Point32Health’s Targeted Case Management Services: Intensive Care Coordination Performance Specifications. We’ll revise our Targeted Case Management Services: Intensive Care Coordination (ICC) Medical Necessity Guidelines to reflect the state’s updated guidance prior to the Oct. 1 effective date.