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Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

Access patient-specific drug benefit information through EMR

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Access requirements for behavioral healthcare services

December 2020 Empire Provider News Behavioral Health Dec 1, 2020

Access requirements for Behavioral Healthcare services

September 2019 Empire Provider News Behavioral Health Sep 1, 2019

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Empire Provider News Products & Programs Dec 1, 2020

AIM programs may require additional prior authorization documentation

June 2019 Empire Provider Newsletter Products & Programs Jun 1, 2019

AIM Rehabilitative program - initial evaluations and site of service reviews

July 2021 Newsletter Products & Programs Jul 1, 2021

Blue Precision program to be retired at the end of the year

July 2021 Newsletter Products & Programs Jul 1, 2021

Case Management Program

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Pharmacy Jul 1, 2021

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification

August 2021 Newsletter Pharmacy Aug 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

February 2022 Newsletter Pharmacy Feb 1, 2022

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

May 2022 Newsletter Pharmacy May 1, 2022

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy are available

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Clinical Criteria updates for specialty pharmacy are available

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Clinical Criteria updates for specialty pharmacy are available

December 2019 Empire Provider News Pharmacy Dec 1, 2019

Clinical Criteria updates for specialty pharmacy are available

June 2020 Empire Provider News Pharmacy Jun 1, 2020

Clinical Criteria updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Clinical Criteria updates for specialty pharmacy are available

March 2020 Empire Provider News Pharmacy Mar 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 2021

Clinical Criteria updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Pharmacy Nov 1, 2020

Correction to February 2022 specialty pharmacy updates

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

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

April 2021 Newsletter Pharmacy Apr 1, 2021

Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)

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

Designated Specialty Pharmacies in 2021

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

Designated specialty pharmacy network updates

June 2021 Newsletter Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022

Material adverse change (MAC) notification

October 2021 Newsletter Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021

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

Empire accepts electronic prior authorization requests for prescription medications online

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Empire accepts prior authorization requests for prescription medications online

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire accepts prior authorization requests for prescription medications online

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire Adopts MCG Care Guidelines for Behavioral Health Services

June 2018 Empire Provider Newsletter Behavioral Health May 30, 2018

Empire Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Empire applies daily morphine equivalent dosing limit

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Empire Provider Newsletter Products & Programs Mar 1, 2019

Empire engages with Alliant Health Solutions

August 2018 Empire Provider Newsletter Behavioral Health Aug 1, 2018

Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available

June 2020 Empire Provider News Behavioral Health Jun 1, 2020

Empire expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

June 2018 Empire Provider Newsletter Pharmacy May 30, 2018

Empire expands specialty pharmacy clinical site of care (level of care) drug list

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire Expands specialty pharmacy clinically equivalent drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy medical step therapy drug list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema

May 2019 Empire Provider Newsletter Pharmacy May 1, 2019

Empire expands specialty pharmacy prior authorization list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire expands specialty pharmacy prior authorization list

June 2018 Empire Provider Newsletter Pharmacy May 30, 2018

Empire expands specialty pharmacy prior authorization list

June 2019 Empire Provider Newsletter Pharmacy Jun 1, 2019

Empire expands specialty pharmacy prior authorization list

October 2018 Empire Provider Newsletter Pharmacy Oct 1, 2018

Empire expands specialty pharmacy prior authorization list

April 2019 Empire Provider Newsletter Pharmacy Apr 1, 2019

Empire expands specialty pharmacy prior authorization list

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire prior authorization updates for specialty pharmacy are available

April 2020 Empire Provider News Pharmacy Apr 1, 2020

Empire removes drugs from specialty pharmacy clinical site of care

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire specialty pharmacy medical step therapy drug list - clarification

October 2019 Empire Provider News Pharmacy Oct 1, 2019

Empire specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Empire Provider Newsletter Pharmacy May 1, 2019

Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information Pharmacy Apr 1, 2020

Empire to retire Blue Precision program on December 31, 2021

December 2021 Newsletter Products & Programs Dec 1, 2021

Empire to update drug lists supporting commercial health plans

August 2018 Empire Provider Newsletter Pharmacy Aug 1, 2018

Empire to update formulary lists for commercial health plan pharmacy benefit

September 2020 Empire Provider News Pharmacy Sep 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2020 Empire Provider News Pharmacy Feb 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

August 2021 Newsletter Pharmacy Aug 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2021 Empire Provider News Pharmacy Feb 1, 2021

Empire updates formulary lists for commercial health plan pharmacy benefit

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Empire’s Individualized Care Program to support palliative care for commercial members

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

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Empire Provider News Products & Programs Aug 1, 2020

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Follow-Up after Hospitalization for Mental Illness

June 2020 Empire Provider News Behavioral Health Jun 1, 2020

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Importance of behavioral healthcare after-hours messaging

April 2022 Newsletter Behavioral Health Apr 1, 2022

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important update on Botox® for Empire members

November 2021 Newsletter Pharmacy Nov 1, 2021

Important update to Empire’s commercial drug lists

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important update to Empire’s commercial drug lists

October 2019 Empire Provider News Pharmacy Oct 1, 2019

IngenioRx introduces new pharmacy network in 2021

January 2021 Empire Provider News Pharmacy Jan 1, 2021

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Empire Provider News Pharmacy Nov 1, 2020

Interactive bilingual website acting for our health

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

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

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

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020

April 2020 Empire Provider News Products & Programs Apr 1, 2020

Member Satisfaction with Behavioral Health Outpatient Services

March 2019 Empire Provider Newsletter Behavioral Health Mar 1, 2019

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

May 2021 Newsletter Products & Programs May 1, 2021

National Drug Code requirement on outpatient claims

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

New AIM Rehabilitative program effective July 1, 2019

April 2019 Empire Provider Newsletter Products & Programs Apr 1, 2019

New Eating Disorder Service Available to Empire Members

August 2018 Empire Provider Newsletter Behavioral Health Aug 1, 2018

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Empire Provider News Products & Programs Jan 1, 2020

Outpatient visits

June 2018 Empire Provider Newsletter Behavioral Health May 30, 2018
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