News and announcements

October 2021 Connection newsletter 

  • OptumRx is our new PBM
  • COVID-19 updates
  • MassHealth Provider Enrollment
  • Medicaid ACO Individual Consideration Codes
  • Massachusetts DOI Bulletin: Coverage for PANDAS and PANS
  • Summit ElderCare Patient Paid Amount (PPA) change
  • NaviCare benefit changes for 2022
  • CareConnect – nurse triage enhancements to help members get connected to their PCP

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

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.