New York
Provider Communications

Articles Month: May 2021

Title Publication Category Date

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 for Specialty pharmacy effective August 1, 2021

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

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization

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

Send larger digital attachments through Availity

May 2021 Newsletter Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Newsletter Administrative May 1, 2021

Reimbursement policy update: Frequency editing (Professional)

May 2021 Newsletter Reimbursement Policies May 1, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Empire and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Empire professionals about racial equity and implicit bias.

Deconstructing Bias Forum Invitation for Empire providers Administrative May 21, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - New York Administrative May 27, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Newsletter Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic solutions @ your fingertips
May 2021 Newsletter Administrative May 1, 2021

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

May 2021 Newsletter Products & Programs May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Newsletter Medicaid May 1, 2021

May is national high blood pressure education month

May 2021 Newsletter Administrative May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicare news

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicaid news

May 2021 Newsletter Medicaid May 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Newsletter Medicaid May 1, 2021

Clinical guideline updates

Material adverse change (MAC) notification

May 2021 Newsletter Medical Policy & Clinical Guidelines May 1, 2021

Clinical criteria updates for specialty pharmacy

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

Appointment scheduler application

May 2021 Newsletter Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Newsletter Administrative May 1, 2021

2021 affirmative statement regarding Utilization Management decisions

May 2021 Newsletter Administrative May 1, 2021
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