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Network Health

Searchable Drug List Pharmacy Updates

Preferred Drug List changes effective April 1, 2015

- Products added
- Products added with quantity limits, step therapy, and prior authorization
- Prior authorization and quantity limits removed from products

Prior authorization for compounded medications over $150

Tufts Health Plan – Network Health will require prior authorization for compound medications exceeding a cost threshold of $150.

Searchable Drug List Member Care

Behavioral health assessments for children

As part of the Children’s Behavioral Health Initiative (CBHI), Massachusetts requires behavioral health providers to perform the Child and Adolescent Needs and Strengths (CANS-MA version) assessment for Tufts Health Together (MassHealth) patients under the age of 21.

Multicultural health care and cultural competence training

Tufts Health Plan – Network Health serves a diverse membership, and recognizes the challenge of providing appropriate care based on individual patients’ cultural, linguistic, educational, and socioeconomic needs.

Searchable Drug List Profile Spotlight

Tufts Health Plan – Network Health has partnered with CareWell

Tufts Health Plan – Network Health has partnered with CareWell, an urgent care center (UCC). Please remind your patients they can go there instead of the emergency room (ER) for non-life-threatening injuries.

Searchable Drug List What's New

We've added revised or new coverage guidelines

As of April 1, 2015, we’ve added revised or new coverage guidelines. We also have a comprehensive list of all of our coverage guidelines.

Searchable Drug List Reminders

HEDIS 2015 is here

As required by National Committee for Quality Assurance (NCQA), we will be collecting medical record information for the 2015 HEDIS data collection period starting in February 2015.

Open enrollment is ending

Open enrollment is ending on February 15, 2015. This means that some of your patients’ coverage will end.

Our name has changed

As of October 1, 2014, our name has changed from Network Health to Tufts Health Plan – Network Health. Our email addresses have also changed to reflect the name change. However, our website address has remained the same.

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

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