Provider Materials

At Senior Whole Health of Massachusetts, we value you as a provider in our network. That’s why we work hard to provide you with the resources you need to help care for our members.

Provider Manual 

Model of Care Training Presentation

Prior Authorization Grid

Provider Notification

Sample Membership Card

Provider Portal Registration Guide

FDR Compliance Guide

FDR Reporting Poster

False Claims Summary Update

Fraud and Waste Reporting Policy

Code Of Conduct

SWH Compliance Program

HIPAA compliance statement

2020 Pharmacy & Prescription Drug Materials 

Part D Formulary  (9/1/2020)
Part D Formulary  (10/1/2020)
SCO Formulary (9/1/2020)
SCO Formulary  (10/1/2020)
Part D Formulary Change Chart (9/1/2020)
Part D Formulary Change Chart (10/1/2020)
Step Therapy Criteria (9/1/2020)
Step Therapy Criteria  (10/1/2020)
Prior Authorization Criteria  (9/1/2020)
Prior Authorization Criteria (10/1/2020)

 

Provider Reference Documents & Newsletters

Provider Quick Reference Guide

Skilled Nursing Facility Quick Reference Guide (SNP Snippits)

Quick Reference Guide to High Risk Medications and their Alternatives

SWH Referral and Authorization Grid

Senior Whole Health’s HEDIS® Tips for Quality Care

Senior Whole Health newsletters

Provider Quality Insider newsletter 2020

Provider Insider Volume 14 Issue January 2020

 

Information Regarding Coronavirus (COVID-19)

Harvard Medical School’s Impact of COVID-19 on Provider Practices survey

Funding for Telehealth Available Under FCC’s COVID-19 Program

COVID-19 Telehealth Provider Q&A

HEDIS® Telehealth Accepted Codes

COVID-19 Provider Webinars
To view information & materials for past and upcoming Provider Webinars

 click here 

 

How to build resilience and adaptive skills during the pandemic
Tips for caring for the emotional health and wellness of you and your family during these uncertain times. Learn more.
If you missed the live webinar, the recording is posted here.