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Fallon Health

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

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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.

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

Resources coming soon...

Resources coming soon...