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Below are links to the most up-to-date policies on treatment options for Fallon Health members. Each policy includes an overview, policy and criteria, an explanation of when services are covered, and any exclusions that apply.
All policies are downloadable PDFs, unless otherwise noted.
The InterQual® criteria book view is available by logging into their transparency tool: InterQual medical necessity criteria.
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Please note: New registrations are not being accepted until our updated provider portal is ready. If you have questions, please contact AskFCHP@fallonhealth.org.