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.
Model of Care Training Presentation
Provider Portal Registration Guide
Model Certificate of Medical Necessity-Oxygen
Fraud and Waste Reporting Policy
2021 Pharmacy & Prescription Drug Materials
Part D Formulary
SCO Formulary
Prior Authorization Criteria
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
Provider’s Guide to Billing for Vaccinations
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
Senior Whole Health (SWH) is pleased to announce our acquisition by Molina Healthcare
Changes to our Dental and Behavioral Health Benefit Administrators (Oct. 29, 2020)
Sepsis Policy Notification (1/11/2021)
Changes to Prior Authorization Requirements
Part B Drugs Requiring Prior Authorization (Oct. 1, 2020)
Senior Whole Health Bridginig Letter
Important Provider Policy Code Notice (updated)
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.
Clinical Practice Guidelines
Atherosclerotic Cardiovascular Disease
Diabetes
Dementia
CHF
COPD
Depression
Preventive Health Guidelines:
Fall Risk Reduction
Adult Preventive Health
Health Resources and Care Recommendations
Preventive Health Tips – Health in Aging Foundation: Aging and Health A to Z
Elder Abuse – NIH National Institute on Aging: Elder Abuse
Million Hearts Toolkit
Health in Aging Foundation
Beacon Health PCP Toolkit
HEDIS Adults’ Access to Preventive-Ambulatory Health Services
HEDIS Breast Cancer Screening (BCS)
HEDIS Care of Older Adults (COA)
HEDIS Comprehensive Diabetes Care (CDC)
HEDIS Controlling High Blood Pressure (CBP)
HEDIS Disease-modifying Anti-rheumatic Drug Therapy for RA
HEDIS Statin Therapy for Patients with Cardiovascular Disease