State and Federal laws and regulatory requirements
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.
Consolidated Appropriations Act / No Surprises Act
Your rights and protections against surprise medical bills
Per federal law, you are protected from balance billing or surprise billing when you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center.
Resources and Reporting Provider Directory Inaccuracies
Access covered services or report an issue
Access free aids and services to people with disabilities, free language services, or report an inaccuracy or network access issue.
Massachusetts Mental Health Parity Laws
And the Federal Mental Health Parity and Addiction Equity Act (MHPAEA)
This is to inform you about your Tufts Health Plan benefits for mental health and substance use disorder services.