Please refer to the chart below for information on new and updated Payment Policies. For details, access the policies listed below by visiting the Payment Policies section of our Point32Health provider website.
| Updates to Payment Policies | |||
| Payment Policy Title | Products Affected | Effective Date | Additional information |
| All-Inclusive Clinic Visit (HCPCS Code T1015) | Tufts Health Together, Tufts Health Plan Senior Care Options, Tufts Health One Care | 3/1/2026 | Updated policy to align with state’s guidance for billing Certified Nurse Midwife and OB/GYN services performed in a Community Health Center. Refer to this article, also included in this issue of Insights and Updates for Providers, for more information. |
| Maximum Units | Tufts Health Plan Commercial, Tufts Health Direct, Tufts Health Together, Tufts Health RITogether, Tufts Health One Care, Tufts Health Plan Senior Care Options, Tufts Medicare Preferred | 5/1/2026 | Updated policy to reflect the maximum unit values established by the Centers for Medicare & Medicaid Services (CMS) and/or Medicaid, when available. Refer to this article, also included in this issue of Insights and Updates for Providers, for more information. |
| Non-Covered Services | Harvard Pilgrim Health Care Commercial | 3/1/2026
| Payment policy transferred from Harvard Pilgrim Health Care template to Point32Health template. |
| Non-Covered/Non-Reimbursable Services | Tufts Health Plan Commercial | 3/1/2026 | Payment policy, including embedded Non-Reimbursable Code Lists for Physicians or Outpatient Hospitals, archived. |