News and announcements

October 2019 Connection newsletter

• Provider Satisfaction Survey 
• Magellan Rx Management 
• Relaunch of Fallon's Medicare Advantage plans 
• Clinical Integration 
• Home health agency services 
• PA change for NaviCare 
• CMS star ratings 
• Fraud, waste and abuse 
• Coding updates

Read past issues of Connection

Pharmacy updates

• New medical benefit pharmacy program (pdf, 9/10/2019)
  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)
• 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)
• 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