Psychological and Neuropsychological Assessment Supplemental Form Submissions Guidelines

Click here to access the standard Psychological and Neuropsychological Assessment Supplemental Form.

Commercial Products

Providers can submit the completed form by:

Secure Email:     BHPriorAuthCommercial@tufts-health.com
Fax:                     617.673.0301
Mail:                    Tufts Health Plan
                            Behavioral Health Department
                            705 Mt. Auburn St.
                            Watertown, MA 02472
                            Attn: Psychiatric Reviewer

Tufts Health Public Plans Products

Providers can submit the completed form by:

Tufts Health Together and Tufts Health Direct
Fax:      888.977.0776
Mail:     705 Mt. Auburn St., 4th Floor
             Watertown, MA 02472
             Attn: Behavioral Health Intake Team

Tufts Health Unify
Fax:      857.304.6304
Mail:      705 Mt. Auburn St. , 4th Floor
              Watertown, MA 02155
              Attn: Tufts Health Unify Intake Team