News and announcements

2016

Regulatory

• Provider Directory requirements from CMS and NCQA (pdf, 12/15/2016)

MassHealth

• Acute Inpatient Hospital Bulletin (pdf, 10/2016)
• Acute Outpatient Hospital Bulletin (pdf, 10/2016)

2015

• Webinar: Confronting the Crisis of Opioid Addiction - 8/25/2015
  Important information about Fallon Total Care plan closing 
• Action required: Important updates to your Provider Tools login - 3/17/2015 
• ICD-10 implementation - 1/15/2015

2014

General

• Reminder: New CMS-1500 form effective April 1, 2014 - 4/23/2014
• Prospective operative note review process - 3/21/2014

Regulatory

MassHealth

Children's Behavioral Health Initiatives 8/22/14

For the latest news on CBHI and CANS:

• Beacon Health Strategies Web site
• EOHHS Web site

2013

General

• New ID card app for FCHP members - 1/29/2013
• Sleep studies and therapy prior authorization and utilization management program - 1/2013

Regulatory

MassHealth

• MassHealth MCO Medical Necessity Review Form for Enteral Nutrition Products (Special Formula) (pdf) -  5/2012

For the latest news on CBHI and CANS:

• Beacon Health Strategies Web site
• EOHHS Web site

2012

General

• Standardized Prior Authorization Request Form (pdf) - 5/2012
  This form isn't intended for pharmacy prior authorizations. For pharmacy prior authorizations, please use these forms and criteria.
• Update: New deadline proposed for ICD-10 CM implementation - 5/2012
• New payment arrangements for non-contracted providers - 5/2012

Regulatory

MassHealth

• Combined MassHealth Managed Care Organization Medical Necessity Review Form for Enteral Nutrition Products (Special Formula) (pdf) - 9/2012
• MassHealth Federally Required Disclosures - 5/2012

Past years

General

• New FCHP membership ID cards are coming soon - 12/2011
• A new health plan for 2011: The City of Worcester Advantage - 4/2011
• Proton pump inhibitors - important news - 4/2011
• Radiology Management FAQ - 11/2009

Regulatory

MassHealth

• All Provider Manuals (Revised Appendix W) (pdf) - 7/2011
• Behavioral health screening updates - 11/2009
• Correction on fluoride varnish application 10/2009
• Fluoride varnish coverage - 7/2009
• Family Stabilization Team Primary Care Provider Service and Access Overview (pdf) - 12/2008
• CSA updated timeline (pdf) - 12/17/2008
• CANS provider network alert (pdf) - 11/10/2008
• Special formula letter to providers (pdf) - 8/2009
• CANS training reminder notice (pdf) - 8/1/2009
• Community Service Agency (CSA) Request for Response (RFR) (pdf) - 10/24/2008
• CSA FAQ (pdf) - 11/13/2008

HIPAA

• Are You HIPAA Compliant for 2012 with FCHP? - 9/2011
• HIPAA Version 5010 - 9/2011