Resources for providers

We’ve moved many of our policies and resources to the website of Point32Health, the parent company of Tufts Health Plan and Harvard Pilgrim Health Care. Visit www.point32.health.org/provider for the following:

 

Medical Necessity Guidelines
Medical Drug Medical Necessity Guidelines
Pharmacy Medical Necessity Guidelines
Payment Policies
Provider Manuals
Behavioral Health Performance Specifications
Vendor Prior Authorization Programs
Forms
Clinical resources
Electronic services