New York
Provider Communications

Articles

Title Publication Category Date

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Newsletter Administrative Oct 1, 2021

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

What Matters Most: Improving the Patient Experience

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

What Matters Most: Improving the Patient Experience

July 2021 Newsletter Medicaid Jul 1, 2021

What Matters Most: Improving the Patient Experience

October 2020 Empire Provider News Administrative Oct 1, 2020

What Matters Most: Improving the Patient Experience

October 2018 Empire Provider Newsletter Administrative Oct 1, 2018

What Matters Most online training course: improving patient experience

September 2020 Empire Provider News Medicaid Sep 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Empire Provider News Administrative Jul 1, 2020

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

October 2021 Newsletter Medicare Oct 1, 2021

Webinar: Introduction to Availity EDI Gateway services for Empire provider organizations

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond

N/A Behavioral Health Jun 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.

COVID-19 Information Administrative Apr 28, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Empire hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information Administrative Jun 25, 2020

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

August 2020 Empire Provider News Medicare Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Virtual Visits - Professional and Facility

Material adverse change (MAC) notification

August 2021 Newsletter Reimbursement Policies Aug 1, 2021

Viral suppression rates improve in patients with HIV in the US,while disparities continue to exist

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Videos to engage patients about preventive care available on empireblue.com

December 2020 Empire Provider News Administrative Dec 1, 2020

Verifying eligibility for expanded hospice benefits

June 2018 Empire Provider Newsletter Products & Programs May 30, 2018

Verifying and updating your provider information

January 2020 Empire Provider News Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicare Jan 1, 2020

Verifying and updating your provider information

December 2019 Empire Provider News Administrative Dec 1, 2019

Vaginal birth after cesarean shared decision-making aid available

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

August 2018 Empire Provider Newsletter Administrative Aug 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Utilization management authorization rule operations

September 2021 Newsletter Medicare Sep 1, 2021

Use the Provider Maintenance Form to update your information

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Use the Provider Maintenance Form to update your information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week

November 2020 Empire Provider News Administrative Nov 1, 2020

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

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

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Specialty Health Musculoskeletal program clinical appropriateness guidelines

July 2021 Newsletter Medicaid Jul 1, 2021

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Empire Provider News Medicaid Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2018 Empire Provider Newsletter Products & Programs May 30, 2018

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

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

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines

August 2018 Empire Provider Newsletter Products & Programs Aug 1, 2018

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicaid Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Empire Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

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 Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Empire Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2018 Empire Provider Newsletter Products & Programs Aug 1, 2018

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Medical Policy & Clinical Guidelines Dec 1, 2020

Updates for specialty pharmacy effective September 1, 2021

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

Updates for specialty pharmacy effective November 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Updates for Specialty pharmacy effective August 1, 2021

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

Updates for specialty pharmacy are effective October 1, 2021

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

Updates for specialty pharmacy are available - September 2021

Material adverse change (MAC) notification

September 2021 Newsletter Pharmacy Sep 1, 2021

Updates for Specialty Pharmacy are available

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

Updates for specialty pharmacy are available

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

Updates for specialty pharmacy are available

September 2020 Empire Provider News Pharmacy Sep 1, 2020

Updated Provider Manual now available

June 2018 Empire Provider Newsletter Administrative May 30, 2018

Updated Provider Manual now available

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Updated provider agreement

April 2021 Newsletter Administrative Apr 1, 2021

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Important Medicare Advantage Updates.
COVID-19 Information State & Federal Mar 25, 2020

Updated Coverage for HIV PrEP medications

July 2020 Empire Provider News Pharmacy Jul 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviews

February 2021 Empire Provider News Medicaid Feb 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Material adverse change (MAC) notification

July 2021 Newsletter Products & Programs Jul 1, 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

Update: Sepsis Coding

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

UPDATE: Prior authorization requirements for high-level, definitive drug testing delayed

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

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

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

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations

July 2020 Empire Provider News Products & Programs Jul 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

October 2020 Empire Provider News Medicaid Oct 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

November 2020 Empire Provider News Medicaid Nov 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Empire Provider News Medicare Sep 1, 2020

UPDATE: new Rehabilitative Program remains temporarily delayed

UPDATE: new Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

UPDATE: New Rehabilitative Program now effective August 1, 2019

Important Update from Empire Products & Programs Jul 3, 2019

UPDATE: New AIM Rehabilitative Program will begin November 1, 2019

October 2019 Empire Provider News Products & Programs Oct 1, 2019

Update: evaluation and management with Modifier 25

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Empire Provider News Medicare Oct 1, 2019

Update to Venipuncture Services Medical Policy effective March 1, 2018

August 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Update to reimbursement policy usage

December 2020 Empire Provider News Medicaid Dec 1, 2020

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 Empire Provider Newsletter Administrative Oct 12, 2018

Update to corrected claims filing guidelines

April 2020 Empire Provider News Medicaid Apr 1, 2020

Update to claim processing for services requiring AIM prior authorization

June 2018 Empire Provider Newsletter Products & Programs May 30, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018
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