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Tufts Medicare Preferred HMO Provider Manual

The Tufts Medicare Preferred HMO Provider Manual details the plan's structure and policies and procedures. We recommend that providers and their staffs read and refer to it as necessary.

This online Tufts Medicare Preferred HMO Provider Manual is the most current version and may differ from the information you have in your office. Please call our Tufts Health Plan Medicare Preferred Provider Relations Department at 800-279-9022 with any questions.

Click on the links below to access specific sections of the Tufts Medicare Preferred HMO Provider Manual:

Utilization Determination Timeframes for Tufts Medicare Preferred HMO Members

Utilization Determination Review Timeframe grids provide an overview of the requirements for conducting initial reviews and notification requests for coverage for Tufts Medicare Preferred HMO members.