MedicaidCoverageMedium impact
EPSDT services update for Tufts Health RITogether
Harvard Pilgrim Health Care·RI · Pediatrics, Family Medicine·Provider Newsletter
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Tufts Health RITogether now covers EPSDT health care transition services for members ages 14-21, including transition assessments, education/counseling, medical summaries, and joint telehealth visits. These services help transition youth from pediatric to adult primary care and require no prior authorization.
Action Required
Before July 1, 2025: Pediatric providers should review EOHHS EPSDT Billing Guidance for Transition Services to understand how to bill for the four new covered services. Update billing workflows to capture transition assessments, education/counseling, medical summaries, and joint telehealth visits for Tufts Health RITogether members ages 14-21. No prior authorization or referral needed for these EPSDT services.