New York
Provider Communications

Articles

Title Publication Category Date

Clinical Criteria updates

April 2022 Newsletter Medicare Apr 1, 2022

Model of Care required training

April 2022 Newsletter Medicare Apr 1, 2022

The impact of listening

April 2022 Newsletter Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

View these Medicare articles:

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
April 2022 Newsletter Medicare Apr 1, 2022

City of New York Retirees Transition to NYC Medicare Advantage Plus Delayed

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.
Transition to NYC Medicare Advantage Plus Delayed Administrative Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Communities forum hosted by Empire and Motivo* for providers on March 16, 2022

Exploring Implicit Bias in Healthcare Administrative Mar 2, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Newsletter Administrative Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Newsletter Administrative Mar 1, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Newsletter Administrative Mar 1, 2022

Your influence matters: recommending cancer screenings to your patients

March 2022 Newsletter Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Newsletter Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Newsletter Digital Tools Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Newsletter Digital Tools Mar 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

Specialty pharmacy updates – March 2022

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates

Material Adverse Change (MAC)
March 2022 Newsletter Medical Policy & Clinical Guidelines Mar 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal Address

March 2022 Newsletter Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Newsletter Federal Employee Plan (FEP) Mar 1, 2022

Required: Cultural competence training

March 2022 Newsletter Medicaid Mar 1, 2022

It is CAHPS survey time!

March 2022 Newsletter Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Newsletter Medicaid Mar 1, 2022

New Strategic Provider System will launch in April 2022

March 2022 Newsletter Medicaid Mar 1, 2022

New select plans on our HealthPlus Medicare network

March 2022 Newsletter Medicare Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Newsletter Medicare Mar 1, 2022

Medication adherence

March 2022 Newsletter Medicare Mar 1, 2022

Clinical Criteria updates

March 2022 Newsletter Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Newsletter Medicare Mar 1, 2022

Keep up with Medicare news - March 2022

View these Medicare articles:

  • Medical step therapy updates
March 2022 Newsletter Medicare Mar 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Newsletter Administrative Feb 1, 2022

Heart disease is the number one killer of women

Share information with patients about taking an active role in their heart health
February 2022 Newsletter Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Newsletter Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Newsletter Administrative Feb 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

February 2022 Newsletter Pharmacy Feb 1, 2022

Specialty pharmacy updates - February 2022

Material Adverse Change (MAC)
February 2022 Newsletter Pharmacy Feb 1, 2022

Pharmacy information available on empireblue.com

February 2022 Newsletter Pharmacy Feb 1, 2022

Clarification to reimbursement policy update: Virtual Visits - Professional and Facility

February 2022 Newsletter Reimbursement Policies Feb 1, 2022

Get faster payments with EFT

February 2022 Newsletter Medicaid Feb 1, 2022

Get faster payments with EFT

February 2022 Newsletter Medicare Feb 1, 2022

City of New York Retirees will transition to NYC Medicare Advantage Plus offered through an alliance between Empire and EmblemHealth

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan. Read important information about this change in the New York City Medicare Advantage announcement.

City of New York Retirees Transition to NYC Medicare Advantage Plus Administrative Jan 5, 2022

Blue High Performance Network name changing for 2022

January 2022 Newsletter Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Newsletter Administrative Jan 1, 2022

Medical policy and clinical guideline updates

Material Adverse Change (MAC)

January 2022 Newsletter Medical Policy & Clinical Guidelines Jan 1, 2022

2022 FEP® Benefit information available online

January 2022 Newsletter Federal Employee Plan (FEP) Jan 1, 2022

Botox update for Empire BlueCross BlueShield HealthPlus members

January 2022 Newsletter Medicaid Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Newsletter Medicaid Jan 1, 2022

2021 CAHPS Survey results

January 2022 Newsletter Medicaid Jan 1, 2022

Keep up with Medicaid news - January 2022

View these Medicaid articles:

  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
    update
  • Prior authorization updates for medications billed under the medical
    benefit
January 2022 Newsletter Medicaid Jan 1, 2022

NYC Medicare Advantage Plus effective date change

January 2022 Newsletter Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Empire BlueCross BlueShield

January 2022 Newsletter Medicare Jan 1, 2022

Local 282 Welfare Trust Fund moves to Empire MediBlue Freedom (PPO) Medical plan

January 2022 Newsletter Medicare Jan 1, 2022

Professional claims — billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Newsletter Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Newsletter Medicare Jan 1, 2022

Keep up with Medicare news - January 2022

View these Medicare articles:

  • Medical step therapy updates
  • Empire BlueCross expands specialty pharmacy precertification list
  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
    update
January 2022 Newsletter Medicare Jan 1, 2022

Empire is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback

Availity Authorization App improvements Administrative Dec 28, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Newsletter Administrative Dec 1, 2021

Facility option to receive verbal UM Notifications electronically

December 2021 Newsletter Administrative Dec 1, 2021

Submitting prior authorizations is getting easier

Empire is transitioning to the Availity Authorization app

December 2021 Newsletter Administrative Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization app

December 2021 Newsletter Administrative Dec 1, 2021

Chlamydia screening for teens and young adults

December 2021 Newsletter Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Newsletter Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Newsletter Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on empireblue.com

December 2021 Newsletter Administrative Dec 1, 2021

Coordination of care

December 2021 Newsletter Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Newsletter Administrative Dec 1, 2021

Important information about utilization management

December 2021 Newsletter Administrative Dec 1, 2021

Case management program

December 2021 Newsletter Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Newsletter Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Newsletter Administrative Dec 1, 2021

Reminder: The 32BJ Health Fund Centers of Excellence for Bariatric and Joint Replacement Surgery program begins January 1, 2022

December 2021 Newsletter Administrative Dec 1, 2021

Reminder: EnrollSafe is available - electronic funds transfer enrollment portal for Empire providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Newsletter Digital Tools Dec 1, 2021

Utilization management tool available on Availity Payer Spaces: Authorization Rules Lookup tool

December 2021 Newsletter Digital Tools Dec 1, 2021

Empire to retire Blue Precision program on December 31, 2021

December 2021 Newsletter Products & Programs Dec 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2021 Newsletter Pharmacy Dec 1, 2021

Specialty pharmacy updates - December 2021

Material Adverse Change (MAC)
December 2021 Newsletter Pharmacy Dec 1, 2021

Pharmacy information available on empireblue.com

December 2021 Newsletter Pharmacy Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology clinical appropriateness guidelines

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging clinical appropriateness guideline

Material Adverse Change (MAC)
December 2021 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - professional

Material Adverse Change (MAC)

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional

Material Adverse Change (MAC)

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits - professional and facility

December 2021 Newsletter Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Drug Screen Testing (effective March 1, 2022)

December 2021 Newsletter Medicaid Dec 1, 2021

Reimbursement policy update: Multiple and Bilateral Surgery - Professional and Facility (effective 03/01/22)

December 2021 Newsletter Medicaid Dec 1, 2021

HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Drug Dependency

December 2021 Newsletter Medicaid Dec 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

December 2021 Newsletter Medicaid Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

December 2021 Newsletter Medicaid Dec 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

December 2021 Newsletter Medicaid Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicaid Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Newsletter Medicaid Dec 1, 2021

Keep up with Medicaid news - December 2021

View these Medicaid articles:

  • Durable medical equipment prior authorization requirement changes effective December 1, 2021
  • Cancer Care Navigator
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization updates for medications billed under the medical
    benefit
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
December 2021 Newsletter Medicaid Dec 1, 2021

City of New York GRS Alliance Program (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Reimbursement Policy Update: Drug Screen Testing (effective March 1, 2022)

December 2021 Newsletter Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

December 2021 Newsletter Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Newsletter Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Newsletter Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicare Dec 1, 2021
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