Managing patient care

Below is a list of topics included in the “Managing patient care” section of the Provider Manual. To view this section, click the link below.

• Open the “Managing patient care” section of the Provider Manual

Topics

• Medical management overview
• Availability of providers
• Accessibility of services
• Admitting for inpatient stay or same–day surgery
• Advance directives
• Ambulatory cardiac monitoring
• Behavioral health - mental health and substance abuse services
  • Children's Behavioral Health Initiative (CBHI)
  • Emergency Services Program Providers (ESP)
  • Community Service Agencies (CSA)
• Care management
  • Outpatient Care Services referral form
• Chiropractic services
• Dental benefits
  • FCHP MassHealth
• Durable medical equipment (DME) and orthotic/prosthetic devices
• Emergency care and urgent care
• FCHP provider—definition and responsibilities
• Hearing aids
• Home health care providers
• Hospitalization and skilled nursing facility admission
• Interpreter services
• Medical record standards
• Network providers
• Nurse Connect
• Observation policy
• Oral surgery
• Out of area care
• PCP referrals and plan prior authorization process
• Peace of Mind Program™
• Pharmacy
  • Commercial plans
  • FCHP MassHealth
  • Fallon Senior Plan with Medicare Part D prescription coverage
• Podiatry
• Radiology/imaging
• Sleep management
• Treatment of a minor without parental consent
• Treatment options
• Utilization statement