


IHCS & Fallon Health Resource Center
IHCS serves as the value-based home health and durable medical benefit manager for Fallon Health. Below, find resources specific to Fallon Health’s providers, including clinical guidelines, provider resources, and compliance documentation.
Have questions?
IHCS: Contact XXXX
Fallon Health: Contact XXX
Resources for Fallon Health Providers
Additional headlines text (do we need this?)
Medicare Advantage:
For Fallon Health members: IHCS will use NCD’s/LCDs, Chapter 7 & 13 and if no policy exists, IHCS will default MA Plan Policy, and if no policy exists IHCS will default to MCG care guidelines and standard of care guidelines.
-
CMS Local Coverage Final LCDs by Contractor Report Results
-
CMS Durable Medical Equipment Reference List
-
Medicare Benefit Policy Manual: Chapter 7 – Home Health Services
-
MassHealth Guidelines for Medical Necessity Determination | Mass.gov
-
MassHealth Guidelines for Medical Necessity Determination for Home Health Services | Mass.gov
-
Home Health Agency Manual for MassHealth Providers | Mass.gov
-
MCG Guidelines
Medicaid:
For Fallon Health members: For Medicaid, IHCS uses State specific applicable policies where available, and if no policy exists, IHCS defaults to Health Plan policy and then to MCG care guidelines.
Commercial/ACA:
For Fallon Health members: Health Plan specific criteria, if applicable and if no policy exists, IHCS will default MCG care guidelines