New York
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

2019 FEP Benefit information available online

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

2020 affirmative statement concerning utilization management decisions

June 2020 Empire Provider News Medicaid Jun 1, 2020

2020 FEP Benefit information available online

January 2020 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Empire Provider News Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Empire Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

2020 Special Needs Plans

July 2020 Empire Provider News Medicare Jul 1, 2020

2021 CAHPS Survey results

January 2022 Newsletter Medicaid Jan 1, 2022

2021 FEP® Benefit information available online

January 2021 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2021

2021 Medicare Advantage individual benefits and formularies

December 2020 Empire Provider News Medicare Dec 1, 2020

2022 FEP® Benefit information available online

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

2022 Medicare Advantage service area and benefit updates

December 2021 Newsletter Medicare Dec 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Newsletter Medicaid Nov 1, 2021

Access patient-specific drug benefit information through electronic medical records

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicaid Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

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

December 2021 Newsletter Medicare Dec 1, 2021

Admission review process for Empire Federal Employee Program® (FEP) members

July 2020 Empire Provider News Federal Employee Plan (FEP) Jul 1, 2020

AIM Musculoskeletal program expansion

August 2020 Empire Provider News Medicare Aug 1, 2020

AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020

November 2020 Empire Provider News Medicare Nov 1, 2020

AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicaid Aug 1, 2019

Annual wellness visits for Medicare Advantage members

March 2022 Newsletter Medicare Mar 1, 2022

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

April 2020 Empire Provider News Medicaid Apr 1, 2020

Aspire Health for members in need of palliative care

June 2021 Newsletter Medicaid Jun 1, 2021

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

November 2020 Empire Provider News Medicaid Nov 1, 2020

Aspire Telehealth Palliative Care program

October 2019 Empire Provider News Medicare Oct 1, 2019

Asthma controller medications

October 2020 Empire Provider News Medicaid Oct 1, 2020

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

July 2021 Newsletter Medicaid Jul 1, 2021

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

July 2021 Newsletter Medicare Jul 1, 2021

Attention: Updated laboratory fee schedule

November 2020 Empire Provider News Medicaid Nov 1, 2020

Attention: updated physician lab fee schedules for Medicare Advantage products

October 2019 Empire Provider News Medicare Oct 1, 2019

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Empire Provider News Medicaid Feb 1, 2021

Behavioral health Discharge Action Plan: improving care transitions

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Behavioral health network provider training

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Empire Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Botox update for Empire BlueCross BlueShield HealthPlus members

January 2022 Newsletter Medicaid Jan 1, 2022

CAHPS education for providers

December 2020 Empire Provider News Medicaid Dec 1, 2020

CAHPS® survey

February 2021 Empire Provider News Medicaid Feb 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Medicaid Jul 1, 2021

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Change in email submission of service requests for Federal Employee Program members

Material adverse change (MAC) notification
August 2021 Newsletter Federal Employee Plan (FEP) Aug 1, 2021

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

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

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

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

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

December 2021 Newsletter Medicare Dec 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

September 2021 Newsletter Medicare Sep 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

December 2021 Newsletter Medicaid Dec 1, 2021

Clinical Criteria updates

April 2022 Newsletter Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Newsletter Medicare Apr 1, 2022

Clinical Criteria updates

March 2022 Newsletter Medicare Mar 1, 2022

Clinical Criteria updates

November 2021 Newsletter Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Clinical Criteria updates

May 2019 Empire Provider Newsletter Medicaid May 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019

August 2018 Empire Provider Newsletter Medicare Aug 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

Coding Spotlight - Obesity

August 2018 Empire Provider Newsletter Medicaid Aug 1, 2018

Coding spotlight - provider’s guide to code social determinants of health

June 2020 Empire Provider News Medicaid Jun 1, 2020

Coding spotlight - provider’s guide to coding respiratory diseases

January 2020 Empire Provider News Medicaid Jan 1, 2020

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Coding spotlight: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding spotlight: mental disorders in childhood

July 2021 Newsletter Medicaid Jul 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Empire Provider News Medicaid Mar 1, 2021

Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Empire Provider News Medicaid Jul 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: tips and best practices for compliance

November 2020 Empire Provider News Medicaid Nov 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Cologuard covered for Medicare Advantage

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Colorectal Cancer Screening (COL) - ensuring quality of care

February 2021 Empire Provider News Medicaid Feb 1, 2021

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicare Sep 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Empire Provider Newsletter Medicare Apr 1, 2019

Complex Case Management program

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Complex Case Management program

June 2021 Newsletter Medicaid Jun 1, 2021

Complex Case Management program

June 2020 Empire Provider News Medicaid Jun 1, 2020

Complex Case Management program

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Connecticut Teachers’ Retirement Board Offers Medicare Advantage Option

June 2018 Empire Provider Newsletter Medicare May 30, 2018

Continuing medical education/continuing education unit opportunities

May 2021 Newsletter Medicaid May 1, 2021

Controlling High Blood Pressure (CBP)

August 2020 Empire Provider News Medicaid Aug 1, 2020

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Newsletter Medicare May 1, 2022

Coordination of Benefits for an FEP member

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2019 Empire Provider News Federal Employee Plan (FEP) Dec 1, 2019

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

May 2020 Empire Provider News Federal Employee Plan (FEP) May 1, 2020

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019
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