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Searchable Drug List Pharmacy Updates

Expanded vitamin coverage for Tufts Health Unify

Effective for fill dates on or after June 1, 2016, Tufts Health Public Plans has expanded its vitamin coverage for Tufts Health Unify members.

Pediatric behavioral health medication initiative

At the request of MassHealth and as part of a statewide safety initiative, we are screening our pediatric population utilizing a combination of specific behavioral health medications or medication classes.

Preferred Drug List changes effective October 1, 2016

Effective October 1, 2016, there are changes to the Preferred Drug List for Tufts Health Together.

Searchable Drug List Member Care

Clinical practice guidelines online

Providers can find clinical practice guidelines online in the Resource Center.

Disease management program

Our disease management program supports members who have asthma, diabetes, COPD and heart failure.

Importance of antidepressant medication adherence

In 2016, Tufts Health Public Plans began contacting members recently prescribed antidepressant medications to educate them on the benefits of medication adherence.

Searchable Drug List Reminders

Did you know...

Visit our website for the most current pharmacy benefit information and other important business information.

New fax numbers

Some Tufts Health Public Plans fax numbers are changing in 2016.

Referral requirement for specialty services

As a reminder, Tufts Health Public Plans members with a Steward Health Care PCP need a referral from their PCP to see a non-Steward specialist.

Tufts Health Provider Connect, a great tool!

Use Tufts Health Provider Connect to submit behavioral health outpatient authorization requests, check member eligibility, review claims status and more!

Update your practice information

Reminder: Regularly notify Tufts Health Public Plans of any changes to your provider contact or panel information.

Get provider support

Searchable Drug List What's New

Acute Inpatient Hospital Admissions Payment Policy

Effective October 1, 2016, the Acute Inpatient Hospital Admissions Payment Policy is changing.

Claim edits effective October 1, 2016

Effective October 1, 2016, Tufts Health Public Plans will implement claim edits.

Doula By My Side program expansion

The Doula By My Side program is expanding into the Central and Greater Boston service areas for Tufts Health Together members in September.

Euflexxa viscosupplement

This article is to clarify the process by which prescribing rheumatologists, orthopedic specialists, physiatrists or sports medicine specialists may obtain the viscosupplement Euflexxa.

Proposed nondiscrimination rule

On May 13, 2016, the U.S. Department of Health and Human Services Office of Civil Rights released a proposed rule on nondiscrimination under Section 1557 of the Affordable Care Act. Section 1557 is the civil rights provision of the ACA.

Register your email for Provider Update

Provider action needed: Register your email to receive Provider Update.

SRE, SRAE and PPC payment policy

Tufts Health Public Plans is not responsible for reimbursing providers for services associated with serious reportable events, serious reportable adverse events or provider-preventable conditions.

Standard BH prior authorization form

On September 1, 2016, Tufts Health Public Plans will only accept prior authorization requests for outpatient behavioral health services that are submitted via the standardized Behavioral Health —  Level of Care Request Form.


Tufts Health Public Plans Provider Update is our quarterly publication of updates relevant to our Tufts Health Public Plans provider network and serves to amend our Tufts Health Public Plans Provider Manual.