News and announcements

January 2019 Connection newsletter

• MHQP Patient Experience Awards
• Summit ElderCare® expands to Webster
• NaviCare® Model of Care training
• How does Summit ElderCare help with transitions of care?
• Sequestration payment reductions
• New Medicare opioid edits and programs for 2019
• Medication confusion and your patients’ safety
• Outpatient telemedicine expansion
• Change in Adult Day Health Care
• Updates to website
• Validating your practice information
• Medicare formulary changes effective 1/1/2019
• 5-star rating from CMS
• NaviCare clinical practice initiatives
• CMS Preclusion List
• Adult foster care accreditation requirements
• Important information regarding claims with Zelis^TM edits
• And more

Read past issues of Connection

Pharmacy updates

• New Medicare Opioid Edits and Programs for 2019 (pdf, 11/28/2018)
• Medicare formulary changes effective 1/1/2019 (pdf, 11/15/2018)
• Commercial formulary changes effective 1/1/2019 (pdf, 11/15/2018)

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

• MassHealth ACO FAQs (7/16/2018)
• MassHealth 834 technical guidance (pdf, 3/8/2018)

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

• Fallon will collaborate with HCAS plans to streamline directory data updates (pdf, 9/6/2018)
• Provider Directory requirements from CMS and NCQA (pdf, 12/15/2016)