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Many of these resources have recently moved to our provider website on point32health.org.

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We want to make it easy for you to work with us, so we’ve brought the training information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot.

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We’ve brought provider news information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot. Visit our news resources on point32health.org/provider

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Below are overviews of Tufts Health Plan’s offerings, which include benefit information, authorization requirements, overviews of specific plans and coverage information.

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2023 Tufts Health Together Preferred Drug List

2024 Quality Improvement Work Plan Summary

This form allows you to authorize Tufts Health Plan to disclose your protected health information to a person or entity.

Authorization to Disclose Protected Health Information

Used by a parent not on the policy to certify their right to receive a minor member’s information. This form is only needed if there are no other written authorizations on file, such as a Member’s Authorization to disclose PHI, Designated Representative Form or Legal documentation that appoints the parent as the minor’s personal representative.

Certification of Parental Rights

Claims Profile Request Form

Designate a person and/or entity to receive information about the member and act on their behalf including appeals &amp; grievances requests.

Designated Representative form

Fair Hearing Request Form

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Living Better with Asthma

Living Better with Chronic Obstructive Pulmonary Disease (COPD)

Living Better with Diabetes

Living Better with Heart Failure

MassHealth Eligibility Review Form

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Notice of Privacy Practices

Dedicated to improving the behavioral health and well-being of children and families through education and advocacy.

Parent/Professional Advocacy League

Member may attach their legal personal representative documents with this cover page.

Personal Representative Cover Form

Prescription Reimbursement Standard Claim Form

Request for Medicare Prescription Drug Coverage Determination

Specialty Pharmacy Program and Included Medications: Tufts Health Together

This form allows a member to terminate an existing authorization or restriction.

Termination of Authorization or Restriction

THPP Member Reimbursement Medical Claim Form

Together EXTRAS Car Seat Form

Together EXTRAS New Baby Care Form

Together EXTRAS Reimbursement Form

Together EXTRAS Reward Form

Tufts Health Together Coverage Area

Tufts Health Together Covered Services List: 2024

For Tufts Health Together MCO members

Tufts Health Together MCO Provider Directory

Tufts Health Together Member Grievances and Appeals (English/Spanish)

Tufts Health Together Member Handbook: 2023

Tufts Health Together Member Handbook: 2024

Tufts Health Together Opioid Management

Tufts Health Together UMass Memorial Health

UMass Memorial Provider Directory

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