We noted in the August issue of the provider newsletter that Point32Health decided to extend some telehealth flexibilities for Medicare members and wanted to provide additional information in light of recent announcements from the Centers for Medicare and Medicaid Services (CMS).
Beginning Jan. 1, 2026, Tufts Health One Care will become a Dual Eligible Special Needs Plan (D-SNP).
While we recommend our secure provider portal for requesting prior authorization, we’re adding an additional fax line, with requests delineated by type.
As a reminder, please submit claims for Stride members by Dec. 31, 2025. We will not accept claims for Stride members after the claims runout date.
As we’ve previously announced, Point32Health has decided to no longer offer Tufts Health Together MCO, effective Jan. 1, 2026.
We’re making changes in coverage related to weight loss medications, as part of our efforts to provide access to the most appropriate health care options while managing rising pharmacy costs.
As the annual election period for Medicare Advantage is underway, we want to update you on changes to our Medicare plans and benefits for 2026.
Tufts Medicare Preferred Access (PPO) will no longer be offered, and we will instead offer Tufts Medicare Preferred PPO RX (PPO) for 2026.
We’re offering some reminders and updates about the mandatory facility attestation functionality available through our secure provider portals.
Effective Jan. 1, 2026, we’re expanding the scope of our OncoHealth oncology medical management program to include Tufts Medicare Preferred members.