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Table of contents

  • Introduction
  • Compliance: Federal and
    state false claims acts
  • Medicare audit and
    record retention
  • Privacy and confidentiality
  • FCHP products
  • Managing patient care
  • Provider relations
  • Peer review policy
  • Credentialing procedures
  • Member relations
  • Additional resources
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FCHP products

Below is a list of topics included in the “FCHP products” section of the Provider Manual. To view this section, click the link below.

  • Open the “FCHP products” section of the Provider Manual

Topics

  • FCHP HMO plans
  • Commonwealth Care
  • Care Choice plans
  • Tax-advantaged accounts 
  • Fallon Senior Plan™
  • FCHP point-of-service plans
  • Major Medical
  • Medicaid/MassHealth
    • Covered services lists
    • Fluoride varnish coverage
    • Special formula
    • Children's Behavioral Health Interagency Initiative (CBHI)
  • FCHP Preferred Provider Organization (PPO)
  • Summit ElderCare
  • Verifying membership
  • Membership cards
  • General exclusions
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