New York
Provider Communications

July 2020 Empire Provider News

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Title Category

2020 Special Needs Plans

Medicare

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

Federal Employee Plan (FEP)

Changes to Annual Verification Process

Administrative

Claims Status Listing & Remittance Inquiry Updates for Atypical Providers

Administrative

Clinical Criteria updates for specialty pharmacy are available

Medical Policy & Clinical Guidelines

Coding spotlight: Provider guide to coding for cardiovascular conditions

Medicaid

CRA Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

Administrative

In-Office Assessment Program

Medicare

Introducing Interactive Care Reviewer - An online prior authorization tool

Medicaid

Introducing Interactive Care Reviewer - An online prior authorization tool

Medicare

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Medical drug benefit Clinical Criteria updates

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

Medical Policy and Clinical Guideline updates

Medical Policy & Clinical Guidelines

New MCG 24th Edition Guidelines

Administrative

Prior authorization codes moving from AIM Specialty Health to Empire

Medicare

Prior authorization updates for specialty pharmacy are available

Pharmacy

Suffolk County Lab Network

Administrative

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations

Products & Programs

Updated Coverage for HIV PrEP medications

Pharmacy

Welcome to the Custom Learning Center in Availity

Administrative
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