Medical policies
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.
Join our network
Fallon Health Weinberg is looking to contract with high quality physicians and licensed health care practitioners who are willing to make a commitment to managed care.
Learn more