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Network Health

Searchable Drug List Pharmacy Updates

Preferred Drug List changes effective October 1, 2015

  • Products added
  • Products with removal of prior authorization
  • Products included on the medical benefit but not covered on the pharmacy benefit
  • Products noncovered

Searchable Drug List Member Care

Behavioral health reminders

Our 2014 Annual Assessment of Behavioral Healthcare and Services Survey found that many of our members were not aware of the behavioral health benefits covered by Tufts Health Plan – Network Health. Members are more likely to follow up with a behavioral health specialist if their PCP refers them, the survey reported.

Searchable Drug List Profile Spotlight

Spotlight your practice in an upcoming Provider Update!

Every day we meet with providers who are doing exceptional work helping patients and supporting their communities. Tell us what makes your practice stand out and we might highlight your organization in a future issue of Provider Update.

Searchable Drug List What's New

New BH outpatient authorization feature

Network Health Connect has a new feature — behavioral health outpatient authorization.

Payment policy

We've had no updates recently, but to see a complete list of our payment policies, please visit our payment policy guidelines.

Searchable Drug List Reminders

Billing requirements

The following is information on the Tufts Health Plan – Network Health SRE and PPC payment policy, as well as reminders regarding hospital claims billing requirements.

HEDIS spotlight

We will be sending out communications on HEDIS measures.

NCQA annual program information

Get information on NCQA programs.

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

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