Connecting You to Whole-Person Care
A new integrated approach to behavioral health
Tufts Health Plan members can access a comprehensive network of medical and behavioral health care providers, along with innovative programs and services,1 to improve both physical and mental well-being in traditional and virtual settings. Our dedicated team will guide you from the first phone call to aftercare planning, to ensure that you receive “whole person” care through an integrated approach.
Behavioral Health Service Navigation
Our specially trained Service Navigators provide personalized help to find and access the care that’s right for you and your dependents. They can help you:
- Navigate the complex health care system through enhanced personalized interactions
- Connect to Tufts Health Plan support and programs, such as care managers
- Locate providers and obtain timely behavioral health appointments
- Learn more about the innovative tools and services we offer to support your needs
Care management programs
Our licensed, integrated care managers have extensive experience and will work with you and our network of providers to help you manage medical and behavioral health conditions, create an aftercare plan and connect you with a variety of resources to ensure optimal health.
Care coordination offers assistance in finding services for members with co-existing medical and/or behavioral health conditions.
Complex Care aims to achieve optimal health and functioning through a comprehensive assessment and tailored care plan based on the member/guardian’s priorities for both adults and children with complex and immediate needs.
Addiction Recovery offers information on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use and have recently received inpatient treatment for substance use.
Transition to Home offers resources for aftercare plans to assist members who have recently been hospitalized and need help transitioning back home.
Emergency Department (ED) Readmission Diversion offers support and assistance for members who have recently visited the emergency room due to medical or behavioral health symptoms.
Supportive Care is designed to assist both adults and children in achieving their health goals. This program is available to members who do not require complex care and may have recently received other treatment, such as in the emergency room. Our care managers provide extended support for those who need additional assistance for a longer period of time.
They also work in tandem with our behavioral health team to provide whole-person care for members who have both medical and behavioral health needs.
Post Facility Discharge is designed to support members who have recently been discharged from an acute level of care for their behavioral health needs. Our care managers work to ensure follow-up needs are met and identify any risks for readmission, providing a smooth transition back to the community.
Behavioral Health Programs and Services
Our licensed, integrated care managers have extensive experience and will work with you and our network of providers to help you manage medical and behavioral health conditions, create an aftercare plan and connect you with a variety of resources to ensure optimal health.
Virtual therapy services
Available seven days a week to support your mental health and wellbeing. Our services include Teladoc2 and Valera Health,3 and offer licensed coaching, talk therapy, medication management and more.
Teladoc licensed providers can support you and your dependents for concerns such as anxiety, depression, seasonal affective disorder, medication management or PTSD by video or phone visits. Appointments are confirmed in less than 72 hours. Set up your account at tuftshealthplan.com/Teladoc.
Valera Health provides virtual therapy and psychiatry services for adults, children aged 6+ and adolescents in Massachusetts. From mild depression to severe schizophrenia, their expert clinicians have a collaborative approach, focused on your needs and overall well-being. Schedule a consultation with a Valera Health connector at valerahealth.com/consult.
Quick and easy access to specialty providers for adults and children
Get started with Cortica,3 with a focus on a whole-child integrated care model, and Transformations Care Network,3 a virtual and in-person outpatient mental health clinic.
Cortica is a physician-led autism services provider in Massachusetts that offers advanced neurological therapies for children with autism spectrum disorder and other developmental differences. They provide a whole-child integrated care model which aims to significantly reduce wait times for diagnostic assessments, medical care, applied behavior analysis, occupational therapy, speech therapy, social skills coaching and counseling — all under one roof. Families interested in receiving services can visit corticacare.com to schedule an appointment or call 888-885-5068.
Transformations Care Network is a network of outpatient mental health clinics that focuses on delivering timely access to high-quality psychiatry and therapy services for adults, children and adolescents in Massachusetts. The network offers a hybrid of in-person and telehealth services to best serve your needs. Schedule an appointment at transformationsnetwork.com.
Substance Use Treatment
Available through multiple network providers, including Spectrum Health. Members are supported after inpatient treatment by our internal Addiction Recovery Care Management Team.
Addiction Recovery Care Management Team offers information and support on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use and have recently received inpatient treatment for substance use.
Spectrum Health is a nonprofit organization dedicated to improving the lives of individuals affected by substance use, opioid addiction and/or mental health disorders. They offer a range of evidence-based treatment options, including inpatient detoxification, residential treatment, medication for substance use disorders, outpatient counseling and peer recovery support. For more information, visit spectrumhealthsystems.org