MedicaidAdministrativeHigh impact
Reminder: Tufts Health Together MCO discontinuing as of Jan. 1
Harvard Pilgrim Health Care·MA·Provider Newsletter
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Tufts Health Together MCO is discontinuing effective January 1, 2026, with affected members being reassigned to new MassHealth plans. Billing teams must verify each patient's new plan assignment starting January 1st and work with their new health plans accordingly.
Action Required
By January 1, 2026: Billing team must check member eligibility in MassHealth's Eligibility Verification System (EVS) for all current Tufts Health Together MCO patients to identify their new MassHealth plan assignment. Update patient records with new insurance information and establish billing relationships with the new health plans. Front desk staff should verify insurance at every appointment as members transition to new plans throughout early 2026.