CommercialAdministrativeLow impact
Point32Health Payment Policy updates
Harvard Pilgrim Health Care·Reimbursement
Effective date
May 1, 2026
We identified it
Jun 20, 2026
Summary
Point32Health updated 11 payment policies with minor administrative changes for accuracy and clarity, affecting multiple services including acupuncture, newborn care, urgent care, and ABA services. One notable change removes references to a discontinued Medicaid product (Tufts Health Plan Senior Care Options SCO Medi) from the All-Inclusive Clinic Visit policy.
Action Required
Before May 1, 2026: Billing team should review updated Point32Health payment policies on their provider website for any specific changes that may affect billing practices. Verify that T1015 billing for All-Inclusive Clinic Visits is updated to reflect removal of the discontinued SCO Medi product references.