News and announcements
January 2021 Connection newsletter
- Expansion of MassHealth Uniform Drug List
- Product spotlights: NaviCare
- Fallon Health New Prescription Transparency Tool: Rx Savings Solutions
- Immunizations for Adolescents: HPV Vaccination
- NaviCare Clinical Practice Initiatives
- Medication Adherence for Medicare Patients
- Best Practices: CAHPS Care Coordination
- And more
Read past issues of Connection
Paper claims P.O. Box issues
When shipping paper claims that are not deliverable to a P.O. Box, (via FedEx etc.), please send to the following address:
Fallon Health Claims- Smart Data Solutions
960 Blue Gentian Road
Eagan, MN 55121
Opioid management program and pain management alternatives
Pharmacy updates
- Commercial and Medicaid formulary changes effective 3/15/2021 (pdf, 2/11/2021)
- Rx Savings Solutions FAQ (pdf, 12/30/2020)
- MassHealth Unified Pharmacy Product List - effective 1/1/2021 (pdf, 1/29/2021)
- Non-formulary quantity limit program - changes effective 1/1/2021 (pdf, 12/16/2020)
- ACO pharmacy changes effective 1/1/2021 (pdf, 11/20/2020)
- New Medicare Opioid Edits and Programs for 2021 (pdf, 11/19/2020)
- Commercial and Medicaid formulary changes effective 1/1/2021 (pdf, 11/17/2020)
- Non-formulary quantity limit program (pdf, 11/12/2020)
- Commercial and Medicaid formulary changes effective 10/15/2020 (pdf, 9/15/2020)
- Ranitidine (zantac) recall
- MDLink Medicare MTM Program (pdf, 4/3/2020)
- Voluntary Site of Service Program (pdf, 4/1/2020)
- Opioid management program
- New Medicare Opioid Edits and Programs for 2020 (pdf, 12/11/2019)
- New medical benefit pharmacy program (pdf, 9/10/2019)
- FAQs
- Webinar recording
- Medical benefit drugs requiring PA and drugs subject to claim edit review, effective January 1, 2020 (pdf, 11/18/19)
MassHealth
Beginning March 1, 2018, MassHealth members have more options for getting care, including MassHealth Accountable Care Organization (ACO) Partnership Plans.
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Your practice information appears in our provider directories. Keeping your information current helps ensure that patients can locate and contact your practice.