Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Fallon Health | Observation status payment policyPayerPolicy · FALLON-PAYMENT-POLICY-OBSERVATION-STATUS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Nurse practitioner payment policyPayerPolicy · FALLON-PAYMENT-POLICY-NURSE-PRACTITIONER-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Non-covered services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-NON-COVERED-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Non-covered services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-NONCOVERED062026 | New policy |
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| Aug 2, 2026 | Fallon Health | Newborn services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-NEWBORN-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Neonatal intensive care services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-NEONATAL-INTENSIVE-CARE-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Modifier payment policyPayerPolicy · FALLON-PAYMENT-POLICY-MODIFIER-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Member liability policyPayerPolicy · FALLON-PAYMENT-POLICY-MEMBER-LIABILITY-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Medicare fee schedule adjustmentPayerPolicy · FALLON-PAYMENT-POLICY-MEDICARE-FEE-SCHEDULE-ADJUSTMENT | New policy |
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| Aug 2, 2026 | Fallon Health | Medical nutrition therapy payment policyPayerPolicy · FALLON-PAYMENT-POLICY-MEDICAL-NUTRITION-THERAPY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Medicaid fee schedule adjustment payment policyPayerPolicy · FALLON-PAYMENT-POLICY-MEDICAID-FEE-SCHEDULE-ADJUSTMENT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Maximum units payment policyPayerPolicy · FALLON-PAYMENT-POLICY-MAXIMUM-UNITS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | MassHealth provider preventable conditions payment policyPayerPolicy · FALLON-PAYMENT-POLICY-MASSHEALTH-PROVIDER-PREVENTABLE-CONDITIONS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Long-term care acute care payment policyPayerPolicy · FALLON-PAYMENT-POLICY-LONG-TERM-CARE-ACUTE-CARE-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Limited services clinics payment policyPayerPolicy · FALLON-PAYMENT-POLICY-LIMITED-SERVICES-CLINICS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Laboratory and pathology payment policyPayerPolicy · FALLON-PAYMENT-POLICY-LABORATORY-AND-PATHOLOGY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Inpatient Hospital ServicesPayerPolicy · FALLON-PAYMENT-POLICY-INPATIENT-HOSPITAL-SERVICES | New policy |
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| Aug 2, 2026 | Fallon Health | Infertility/assisted reproductive technology services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-INFERTILITY-ASSISTED-REPRODUCTIVE-TECHNOLOGY-SERVICES-PAYMENT-PO | New policy |
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| Aug 2, 2026 | Fallon Health | Hospital acquired conditions payment policyPayerPolicy · FALLON-PAYMENT-POLICY-HOSPITAL-ACQUIRED-CONDITIONS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Hospice services – MassHealth ACO and NaviCare SCO (Medicaid-only)PayerPolicy · FALLON-PAYMENT-POLICY-HOSPICE-SERVICES-MASSHEALTH-ACO-AND-NAVICARE-SCO-MEDICAID-ONLY | New policy |
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| Aug 2, 2026 | Fallon Health | Hospice payment policyPayerPolicy · FALLON-PAYMENT-POLICY-HOSPICE-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Home health care payment policyPayerPolicy · FALLON-PAYMENT-POLICY-HOME-HEALTH-CARE-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Home delivered meals payment policyPayerPolicy · FALLON-PAYMENT-POLICY-HOME-DELIVERED-MEALS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Hearing aid and hearing aid exam payment policyPayerPolicy · FALLON-PAYMENT-POLICY-HEARING-AID-AND-HEARING-AID-EXAM-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Health-related social needs (HRSN) supplemental services - MassHealth ACOPayerPolicy · FALLON-PAYMENT-POLICY-HEALTH-RELATED-SOCIAL-NEEDS-HRSN-SUPPLEMENTAL-SERVICES-MASSHEALT | New policy |
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| Aug 2, 2026 | Fallon Health | Group adult foster care payment policyPayerPolicy · FALLON-PAYMENT-POLICY-GROUP-ADULT-FOSTER-CARE-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Global surgical payment policyPayerPolicy · FALLON-PAYMENT-POLICY-GLOBAL-SURGICAL-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Gastroenterology payment policyPayerPolicy · FALLON-PAYMENT-POLICY-GASTROENTEROLOGY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Evaluation and management payment policyPayerPolicy · FALLON-PAYMENT-POLICY-EVALUATION-AND-MANAGEMENT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Emergency department payment policyPayerPolicy · FALLON-PAYMENT-POLICY-EMERGENCY-DEPARTMENT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Early intervention services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-EARLY-INTERVENTION-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Early intervention services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-EARLYINTERVENTIONPAYPOL3122 | New policy |
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| Aug 2, 2026 | Fallon Health | Durable medical equipment payment policyPayerPolicy · FALLON-PAYMENT-POLICY-DURABLE-MEDICAL-EQUIPMENT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Drugs and biologicals payment policyPayerPolicy · FALLON-PAYMENT-POLICY-DRUGS-AND-BIOLOGICALS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Diagnosis coding payment policyPayerPolicy · FALLON-PAYMENT-POLICY-DIAGNOSIS-CODING-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Diabetes self-management education/training payment policyPayerPolicy · FALLON-PAYMENT-POLICY-DIABETES-SELF-MANAGEMENT-EDUCATION-TRAINING-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Dermatology payment policyPayerPolicy · FALLON-PAYMENT-POLICY-DERMATOLOGY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Dental services - MassHealth ACOPayerPolicy · FALLON-PAYMENT-POLICY-DENTAL-SERVICES-MASSHEALTH-ACO | New policy |
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| Aug 2, 2026 | Fallon Health | Dental services - Fallon Medicare Plus and NaviCarePayerPolicy · FALLON-PAYMENT-POLICY-DENTAL-SERVICES-FALLON-MEDICARE-PLUS-AND-NAVICARE | New policy |
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| Aug 2, 2026 | Fallon Health | Day habilitationPayerPolicy · FALLON-PAYMENT-POLICY-DAY-HABILITATION | New policy |
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| Aug 2, 2026 | Fallon Health | Counseling/risk factor reduction intervention services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-COUNSELING-RISK-FACTOR-REDUCTION-INTERVENTION-SERVICES-PAYMENT-P | New policy |
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| Aug 2, 2026 | Fallon Health | Community health center policyPayerPolicy · FALLON-PAYMENT-POLICY-COMMUNITY-HEALTH-CENTER-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Community health center policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-COMMUNITYHEALTHCENTERS030126 | New policy |
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| Aug 2, 2026 | Fallon Health | Coding analysis policyPayerPolicy · FALLON-PAYMENT-POLICY-CODING-ANALYSIS-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Code review payment policyPayerPolicy · FALLON-PAYMENT-POLICY-CODE-REVIEW-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Co-surgeon and team surgeon payment policyPayerPolicy · FALLON-PAYMENT-POLICY-CO-SURGEON-AND-TEAM-SURGEON-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Clinical trials payment policyPayerPolicy · FALLON-PAYMENT-POLICY-CLINICAL-TRIALS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Claims editing software policyPayerPolicy · FALLON-PAYMENT-POLICY-CLAIMS-EDITING-SOFTWARE-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Certified nurse midwife policyPayerPolicy · FALLON-PAYMENT-POLICY-CERTIFIED-NURSE-MIDWIFE-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Cardiology services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-CARDIOLOGY-SERVICES-PAYMENT-POLICY | New policy |
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