Resources for providers

Get the online tools and resources you need to take care of your patients who are Fallon Health members.

Quick links

News and notifications

October 2018 Connection newsletter 

  • New Chief Medical Officer
  • New Director of Provider Relations
  • Provider Satisfaction Survey
  • Provider section improvements on
  • NaviCare Model of Care update
  • WellTrack update
  • Billing reminder: electronic claim adjustments
  • Validating your practice information
  • PA for skilled home health care
  • And more

Fallon will collaborate with HCAS plans to streamline directory data updates (9/6/2018)
Watch for more information in upcoming issues of the Connection newsletter.

MassHealth 834 technical guidance (pdf, 3/8/2018)

MassHealth continuity of care transition for ACO/MCO plans (3/1/2018)

MassHealth ACO FAQ 1/4/2018
Beginning March 1, 2018, MassHealth members will have more options for getting care, including MassHealth Accountable Care Organization (ACO) Partnership Plans.

Verify or update your practice information  9/20/2017
Your practice information appears in our provider directories. Keeping your information current helps ensure that patients can locate and contact your practice.

Provider Directory requirements from CMS and NCQA 9/10/2017
The Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA) have enacted requirements that health plans engage providers in reviewing and maintaining provider directory information.

More news and announcements

Have questions?

Contact your Provider Relations Representative: