The chart below identifies updates to our Medical Necessity Guidelines. For additional details, refer to the Medical Necessity Guidelines page on our Point32Health provider website, where you can find coverage and prior authorization criteria for our Harvard Pilgrim and Tufts Health Plan lines of business.
| Updates to Medical Necessity Guidelines (MNG) | |||
| MNG Title | Products Affected | Effective Date | Summary |
| Out-of-Network Coverage at the In-Network Level of Benefits and Continuity of Care (All Plans) | Tufts Health One Care | 6/1/2026 | Updated information about continuity of care for members new to the Plan for additional clarity.
|