News and announcements

January 2020 Connection newsletter

• New infusion therapy program
• New program for medical benefit drug management
• Fallon Medicare Plus crosswalk
• PCP referral change for Medicare beneficiaries
• CMS Star ratings
• Medicare Health Outcomes Survey
• New technology to help fight fraud
• New Caregiving section

Read past issues of Connection

Pharmacy updates

• New Medicare Opioid Edits and Programs for 2020 (pdf, 12/11/2020)
• 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)
• Commercial and Medicaid formulary changes effective 6/10/2019 (pdf, 6/10/2019)
• Commercial and Medicaid formulary changes effective 4/13/2019  (pdf, 3/1/2019)

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)
• ACO continuity of care

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.

• HCAS Provider Directory Solution Overview