Tufts esp notification form 2025

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The document is a notification form for the Emergency Service Program (ESP) regarding pending admissions or arranged placements for members requiring various levels of mental health and substance use disorder services. It includes sections for member information, ESP details, type of notification, and diagnosis, along with contact information for relevant facilities.

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2016	4.8 Satisfied (148 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I contact Tufts Medicare Preferred?

If you have any questions, call Tufts Health Plan Medicare Preferred Member Services at 1-800-701-9000 (HMO) or 1-866-623-0172 (PPO) (TTY: 711).

Does Tufts Health Plan require referrals?

To help us make sure you get the care you need, we need a primary care provider (PCP) referral for certain specialty services for some members. A referral is a notification from a PCP to us that you can get care from a different provider.

Does Tufts backdate referrals?

Referrals reviewed by Tufts Health Plan will not be backdated. Prior to submitting a referral request to an authorized reviewer, the PCP must confirm that a provider in the members network could not provide a comparable level of care.

Does Tufts HMO require prior authorization?

Prior authorization for certain services, drugs, devices and equipment is based on Tufts Health Public Plans medical necessity guidelines (MNGs) or InterQual criteria. Any request for services provided by out-of-network (OON) providers requires prior authorization.

What is the phone number for Tufts Health Plan authorization?

Prior authorization requests should be faxed to the Precertification Operations Department at 888-415-9055 (Tufts Health Together, Tufts Health Direct), 857-304-6304 (Tufts Health One Care) or 857-304-6404 (Tufts Health RITogether).

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Does UnitedHealthcare backdate referrals?

Does UHC backdate referrals? Referrals are effective immediately, but may take up to 2 business days to be viewable in the portal system. They may be backdated up to 5 calendar days before the date of entry.

Tufts esp notification form 2025

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Got questions?

How do I contact Tufts Medicare Preferred?

Does Tufts Health Plan require referrals?

Does Tufts backdate referrals?

Does Tufts HMO require prior authorization?

What is the phone number for Tufts Health Plan authorization?

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Does UnitedHealthcare backdate referrals?

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