New York
Provider Communications

June 2022 Newsletter

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Title Category

Provider outreach to validate your provider data

Administrative

Evaluation and management services for COVID testing - professional

Material adverse change (MAC)

Administrative

Exploring the Intersection of Race and Disability

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

CAA: Provider directories accuracy is important

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Process change for Federal Employee ProgramĀ® third-party correspondence requests

Federal Employee Plan (FEP)

Provider notice for COVID-19 testing

Medicaid

InterQual migration

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicaid

Keep up with Medicaid news- June 2022

View these Medicaid articles:

  • Prior authorization update for select durable medical equipment (DME) items
  • Prior authorization updates for medications billed under the medical benefit
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
Medicaid

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Material Adverse Change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health sleep disorder management clinical appropriateness

Material Adverse Change (MAC)

Medical Policy & Clinical Guidelines

Provider notice for COVID-19 testing

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

Keep up with Medicare news - June 2022

View these Medicare articles:

  • New specialty pharmacy medical step therapy requirements
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
Medicare

Specialty pharmacy updates - June 2022

Material Adverse Change (MAC)
Pharmacy

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility)

Material Adverse Change (MAC)

Reimbursement Policies
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