Insights and Updates for Providers
February 2025New substance use disorder treatment HEDIS tip sheet
Our newly developed HEDIS tip sheet on the Initiation and Engagement of Substance Use Disorder Treatment (IET) can aid you in implementing best practices and optimizing HEDIS scores.
Read moreFee schedule updates in effect April 1
Updates to our Harvard Pilgrim Health Care Commercial professional fee schedules and our Point32Health behavioral health fee schedule will take effect on April 1, 2025.
Read morePoint32Health medical drug program updates
Refer to this chart to review changes and updates to Point32Health’s medical drug program, including information about prior authorization, coverage updates, and more.
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Vendor Prior Authorization Programs
Reference information on our vendor partners who conduct utilization management for certain services.