As we announced in the May 2025 issue of the provider newsletter, Point32Health will no longer offer Tufts Health Together MCO, effective Jan. 1, 2026. We notified affected members and primary care provider practices that participate in this product by letter earlier this year. 

Transition for current Tufts Health Together MCO members

This change does not impact members’ MassHealth eligibility. Tufts Health Together MCO will continue to provide coverage through Dec. 31, 2025 and they will have a new MassHealth plan effective Jan. 1, 2026 (provided members continue to meet MassHealth eligibility). Whenever possible, MassHealth will re-assign these members to the health plan in which their primary care provider (PCP) will be participating moving forward. Members will receive a notification letter about their new health plan assignment in early November and additional information about their health plan options, including how to change health plans.

Members’ new health plans are required to comply with the MassHealth continuity of care (COC) requirements, which aim to minimize disruption of care, ensuring uninterrupted access to medically necessary covered service and coordination transitions of care, thus enabling members to continue to see their current providers (including but not limited to in-network providers), for 90 days. In addition, MassHealth and the health plans will work together to securely transition and honor all prior authorization and referral information for transitioning members to support COC.  For details, please refer to this MassHealth page on COC. 

Any provider with a member currently on the Tufts Health Together MCO should ensure that they have up-to-date information on the member’s plan as of Jan. 1, 2026. Please check member eligibility in MassHealth’s Eligibility Verification System (EVS) to learn which MassHealth plan they will be enrolled in, and work with their new health plan accordingly.

ACOs offered for 2026

Our decision regarding our MCO does not affect our Tufts Health Plan MassHealth Accountable Care Organization (ACO) business. We will continue to offer our Tufts Health Together Accountable Care Partnership Plans (ACPPs) with Cambridge Health Alliance and UMass Memorial Health.

Primary care physicians and specialists who are part of the ACO networks remain participating providers, and should continue to provide services for these ACO members as they normally would.

Participating providers may have experienced a change in their ACO affiliation for 2026, as noted on the MassHealth All Provider Bulletin 410. Specific to Tufts Health Together, Milford Regional Medical Center and Milford Regional Physician Group are now part of UMass Memorial Health, and therefore effective Jan. 1, 2026 they will participate in the Tufts Health Together ACO with UMMH. Therefore, members with Milford Regional PCPs joining Tufts Health Together UMMH ACO will be eligible for COC for 90 days and we will honor the existing authorizations and referrals from their previous ACO plan.

Provider resources

If you are a provider who is new to the Tufts Health Together ACO plans, we encourage you to visit our provider website to access a variety of tools and resources, including:

  • The Tufts Health Public Plans Provider Manual, which outlines our programs, policies and procedures.
  • Our monthly electronic provider newsletter, Insights and Updates for Providers, which will keep you abreast of all the latest notifications, policy updates, billing guidance and more. We encourage you to register for email delivery of the newsletter to your inbox.
  • Our electronic services page, offering information on registering for and utilizing our secure portals to conduct transactions electronically for administrative ease, as well as information on signing up for electronic funds transfer to receive payment electronically.
  • Our provider training page, featuring user guides, flyers and reference tools, and training videos to guide you and your office staff through doing business with us.

You may also want to direct your Tufts Health Together ACO patients to our member page for the product for information on services and coverage.