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Title Publication Category Date

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Newsletter Products & Programs Jun 1, 2021

Updates for specialty pharmacy effective September 1, 2021

Material adverse change (MAC) notification
June 2021 Newsletter Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates

June 2021 Newsletter Pharmacy Jun 1, 2021

Pharmacy information available on empireblue.com

June 2021 Newsletter Pharmacy Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Newsletter Administrative Jun 1, 2021

Keep your contact information current

June 2021 Newsletter Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Newsletter Administrative Jun 1, 2021

Two great learning resources on One Secure Portal

June 2021 Newsletter Digital Tools Jun 1, 2021

Submit EDI corrected claims via Availity or EDI

June 2021 Newsletter Digital Tools Jun 1, 2021

Digital Solution Options with Availity

June 2021 Newsletter Digital Tools Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Newsletter Digital Tools Jun 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Material adverse change (MAC) notification
June 2021 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Material adverse change (MAC) notification
June 2021 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
June 2021 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2021

Empire to enhance claim edits for Outpatient Facility Claims

June 2021 Newsletter Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Newsletter Federal Employee Plan (FEP) Jun 1, 2021

Provider education program survey: Your Voice Counts

June 2021 Newsletter Medicaid Jun 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Newsletter Medicaid Jun 1, 2021

Keeping up with routine vaccination during COVID-19

June 2021 Newsletter Medicaid Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Newsletter Medicaid Jun 1, 2021

Complex Case Management program

June 2021 Newsletter Medicaid Jun 1, 2021

Important information about utilization management

June 2021 Newsletter Medicaid Jun 1, 2021

Members’ Rights and Responsibilities Statement

June 2021 Newsletter Medicaid Jun 1, 2021

Keep up with Medicaid news

June 2021 Newsletter Medicaid Jun 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Newsletter Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Newsletter Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Newsletter Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Newsletter Medicare Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - New York Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Empire and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about racial equity and implicit bias.

Deconstructing Bias Forum Invitation for Empire providers Administrative May 21, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Newsletter Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021

Material adverse change (MAC) notification
May 2021 Newsletter Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization

Material adverse change (MAC) notification
May 2021 Newsletter Pharmacy May 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification
May 2021 Newsletter Pharmacy May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Newsletter Administrative May 1, 2021

May is national high blood pressure education month

May 2021 Newsletter Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic solutions @ your fingertips
May 2021 Newsletter Administrative May 1, 2021

Send larger digital attachments through Availity

May 2021 Newsletter Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Newsletter Administrative May 1, 2021

Appointment scheduler application

May 2021 Newsletter Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Newsletter Administrative May 1, 2021

2021 affirmative statement regarding Utilization Management decisions

May 2021 Newsletter Administrative May 1, 2021

Clinical guideline updates

Material adverse change (MAC) notification

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy update: Frequency editing (Professional)

May 2021 Newsletter Reimbursement Policies May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Newsletter Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicaid May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicaid May 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Newsletter Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Newsletter Medicaid May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicare news

May 2021 Newsletter Medicare May 1, 2021

Information from Empire for Care Providers about COVID-19 (Updated April 28, 2021)

We recently updated the effective date about reimbursement for the administration of the COVID-19 vaccine.

COVID-19 Information Administrative Apr 28, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Material adverse change (MAC) notification
April 2021 Newsletter Products & Programs Apr 1, 2021

Interactive bilingual website acting for our health

Exclusively developed for the latino community.
April 2021 Newsletter Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Newsletter Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Newsletter Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Pharmacy information available on empireblue.com

April 2021 Newsletter Pharmacy Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Newsletter Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Newsletter Administrative Apr 1, 2021

Join Empire in talking about racism and its impact on health

April 2021 Newsletter Administrative Apr 1, 2021

Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021

April 2021 Newsletter Administrative Apr 1, 2021

State of Connecticut employer group and Connecticut partnership plan

April 2021 Newsletter Administrative Apr 1, 2021

Updated provider agreement

April 2021 Newsletter Administrative Apr 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

April 2021 Newsletter Administrative Apr 1, 2021

Payer Spaces - Education and Reference Center has been replaced by Information Center

April 2021 Newsletter Administrative Apr 1, 2021

Understanding Availity Roles for Electronic Data Interchange (EDI)

April 2021 Newsletter Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Newsletter Administrative Apr 1, 2021

Submit appeals for clinically denied appeals via ICR

April 2021 Newsletter Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

April 2021 Newsletter Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Newsletter Administrative Apr 1, 2021

Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

Medical policy updates

Material adverse change (MAC) notification
April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Newsletter Reimbursement Policies Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Newsletter Federal Employee Plan (FEP) Apr 1, 2021

Keep up with Medicaid news

April 2021 Newsletter Medicaid Apr 1, 2021

Notify us of telehealth services

April 2021 Newsletter Medicare Apr 1, 2021

In-office assessment program

April 2021 Newsletter Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – November 2020

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – December 2020

April 2021 Newsletter Medicare Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Products & Programs Mar 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Empire Provider News Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Medical Attachment Capability: Itemized Bill and More

March 2021 Empire Provider News Administrative Mar 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Empire Provider News Medical Policy & Clinical Guidelines Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicaid Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Empire Provider News Medicaid Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Empire Provider News Medicaid Mar 1, 2021

Ocrevus/Vyepti Medical Step Therapy Notice

March 2021 Empire Provider News Medicaid Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Empire Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Empire Provider News Medicare Mar 1, 2021
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