New York
Provider Communications

January 2022 Newsletter

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Title Category

2021 CAHPS Survey results

Medicaid

2022 FEP® Benefit information available online

Federal Employee Plan (FEP)

Blue High Performance Network name changing for 2022

Administrative

Botox update for Empire BlueCross BlueShield HealthPlus members

Medicaid

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

Medicare

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
Medicaid

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
Medicare

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

Medicare

Medical policy and clinical guideline updates

Material Adverse Change (MAC)

Medical Policy & Clinical Guidelines

NYC Medicare Advantage Plus effective date change

Medicare

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

Medicare

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

Medicaid

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

Medicare

Well-child visits: Know the numbers

Administrative
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