New York
Provider Communications

Articles Month: October 2020

Title Publication Category Date

Keep up with important news from Empire and receive notifications by email

October 2020 Empire Provider News Administrative Oct 1, 2020

New Digital Provider Enrollment tool added to Availity for New York

October 2020 Empire Provider News Administrative Oct 1, 2020

New Blue HPN® network included in plans available for employee open enrollment Fall 2020

October 2020 Empire Provider News Administrative Oct 1, 2020

Charges for Personal Protective Equipment by Participating Providers

October 2020 Empire Provider News Administrative Oct 1, 2020

Electronic member ID cards available on the Availity Portal

October 2020 Empire Provider News Administrative Oct 1, 2020

Empire Chat: A fast, easy way to have your questions answered

October 2020 Empire Provider News Administrative Oct 1, 2020

Interactive Care Reviewer adds outpatient medical authorization requests for Empire local, State and City plans

October 2020 Empire Provider News Administrative Oct 1, 2020

Request referrals for Empire Individual Network Plan through Interactive Care Reviewer

October 2020 Empire Provider News Administrative Oct 1, 2020

New Medical Claim Attachment Webinars: Register Today

October 2020 Empire Provider News Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Empire Provider News Administrative Oct 1, 2020

CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Empire Provider News Administrative Oct 1, 2020

What Matters Most: Improving the Patient Experience

October 2020 Empire Provider News Administrative Oct 1, 2020

Nominate someone today for the Empire Whole Health Heroes Awards

Empire Whole Health Heroes Awards Administrative Oct 20, 2020

Register today for a Racial Trauma Forum hosted by Empire and Motivo on October 28, 2020

Racial Trauma Forum Invitation Behavioral Health Oct 14, 2020

Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List

Material Adverse Change
October 2020 Empire Provider News Federal Employee Plan (FEP) Oct 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

SOMOS to manage delegated functions effective October 1, 2020

October 2020 Empire Provider News Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Empire Provider News Medicaid Oct 1, 2020

Asthma controller medications

October 2020 Empire Provider News Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Empire Provider News Medicaid Oct 1, 2020

Medical Policy & Clinical Guideline updates

Material Adverse Changes
October 2020 Empire Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change
October 2020 Empire Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

October 2020 Empire Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Prior authorization requirements for the below codes (December 1, 2020)

October 2020 Empire Provider News Medicare Oct 1, 2020

Prior authorization requirements for the below codes (January 1, 2021)

October 2020 Empire Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Empire Provider News Medicare Oct 1, 2020

Evaluation and management services correct coding

October 2020 Empire Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Empire Provider News Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Empire Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Empire Provider News Medicare Oct 1, 2020

Empire updates formulary lists for commercial health plan pharmacy benefit

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Designated Specialty Pharmacies in 2021

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

National Drug Code requirement on outpatient claims

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

Prior authorization updates for specialty pharmacy are available

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Empire Provider News Pharmacy Oct 1, 2020

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

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Pharmacy information available on empireblue.com

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Site of Care medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021

Material Adverse Change
October 2020 Empire Provider News Products & Programs Oct 1, 2020

REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020

October 2020 Empire Provider News Products & Programs Oct 1, 2020

Reimbursement Policy Update: Emergency Department: Leveling of Evaluation and Management Services (Facility)

Material Adverse Change
October 2020 Empire Provider News Reimbursement Policies Oct 1, 2020

Reimbursement Policy Update: Laboratory and Venipuncture (Professional)

Material Adverse Change
October 2020 Empire Provider News Reimbursement Policies Oct 1, 2020
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