Interoperability Website Resources

Accessing your health information

The Centers for Medicare and Medicaid Services (CMS) established the Interoperability and Patient Access final rule in May 2020. This rule applies to Tufts Health Plan Medicare Advantage, Senior Care Options, Tufts Health Together, Tufts Health RITogether, and Tufts Health Unify and New Hampshire Exchange members. The rule requires applicable issuers to make certain patient data available via an API, or application programming interface. Medicare Advantage and Medicaid members may also access formulary and provider directory information. Current Medicare Advantage and Medicaid memberswill be able to connect to Tufts Health Plan’s API to access their data via their preferred third-party app beginning on July 1, 2021.

Tufts Health Plan recognizes an eligible member’s right to share their information with the third-party app of their choice but advises that there may be risks to doing so. Eligible members should review the application or website’s privacy policy and terms and conditions to fully understand how their information will be safeguarded, used and disclosed.


Accompanying Technical Documentation

This information is for 3rd party application developers and is not applicable to our members.