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@point32health.org
Fax:                     617-673-0301
Mail:                    Tufts Health Plan
                            Behavioral Health Department
                            1 Wellness Way
                            Canton, MA 02021-1166
                            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:     1 Wellness Way
              Canton, MA 02021-1166
             Attn: Behavioral Health Intake Team

Tufts Health Unify
Fax:      857-304-6304
Mail:      1 Wellness Way
              Canton, MA 02021-1166
              Attn: Tufts Health Unify Intake Team