News and announcements

October 2018 Connection newsletter 

• New Chief Medical Officer
• New Director of Provider Relations
• Provider Satisfaction Survey
• Provider section improvements on fallonhealth.org
• NaviCare Model of Care update
• WellTrack update
• Billing reminder: electronic claim adjustments
• Validating your practice information
• PA for skilled home health care
• 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)