Resources for providers

Get the online tools and resources you need to take care of your patients who are Fallon Health members.

Quick links


News & announcements 

July 2023 Connection newsletter

  • Return to referral requirements
  • MassHealth ACO reimbursement
  • MassHealth ACO prior authorization requirements for formula
  • E-consults: Supporting PCPs and expanding access
  • Update on specialty drug access
  • Preferred product changes under the Medical Benefit
  • MassHealth ACO Unified Formulary Opioid and
  • Pain Initiative
  • MassHealth ACO full uniform formulary changes

Effective 1/1/22, OptumRx is our new pharmacy benefits manager

Opioid management program and pain management alternatives

Medical Rx program
Fallon Health Medical Pharmacy Prior Authorization Program (.pptx)
Webinar recording


More news and announcements

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