New York
Provider Communications

June 2020 Empire Provider News

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Title Category

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

Administrative

Be sure to notify Empire of changes to your demographic data

Administrative

Empire Covers HIV PrEP Medications at 100% for prevention

Administrative

Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues

Administrative

Empire to change ID numbers for City of New York members

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care

Administrative

Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available

Behavioral Health

Follow-Up after Hospitalization for Mental Illness

Behavioral Health

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicaid

2020 affirmative statement concerning utilization management decisions

Medicaid

Modifier use reminders

Medicaid

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

Medicaid

Follow-Up After Hospitalization for Mental Illness

Medicaid

Complex Case Management program

Medicaid

Members’ Rights and Responsibilities Statement

Medicaid

Important information about utilization management

Medicaid

Keep up with Medicaid news

Medicaid

Medical Policy Updates

Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Introducing Interactive Care Reviewer - an online prior authorization tool

Medicare

Empire working with Optum to collect medical records for risk adjustment

Medicare

Diabetes HbA1c < 8 HEDIS guidance

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Keep up with Medicare news

Medicare

Prior authorization updates for specialty pharmacy effective September 1, 2020

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on empireblue.com

Pharmacy

New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional

Reimbursement Policies
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