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 |
| Observation Stay | Harvard Pilgrim Health Care Commercial, 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 | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Podiatry Professional | Harvard Pilgrim Health Care Commercial, 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 | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Hospice | Harvard Pilgrim Health Care Commercial, 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 | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Diagnosis of Vaginitis | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Epithelial Cell Cytology in Breast Cancer Risk Assessment | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Evaluation of Dry Eyes | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Flow Cytometry | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Folate Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Helicobacter pylori Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Hepatitis Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Human Immunodeficiency Virus (HIV) | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Intracellular Micronutrient Analysis | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Onychomycosis Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Pediatric Preventive Screening | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Prostate Specific Antigen (PSA) Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Salivary Hormone Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Serum Tumor Markers for Malignancies | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Thyroid Disease Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Urinary Tumor Markers for Bladder Cancer | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |
| Laboratory: Venous and Arterial Thrombosis Risk Testing | Harvard Pilgrim Health Care Commercial | 8/1/2026 | Minor administrative updates for accuracy and clarity |