New York
Provider Communications

March 2019 Empire Provider Newsletter

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Title Category

Access patient-specific drug benefit information through electronic medical records

Medicaid

Attention: Updated or New Fee Schedules for Commercial products

Administrative

Change to 835 ERA for all D-SNP MA members for 2019

Medicare

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical criteria updates for specialty pharmacy

Medicare

Clinical practice and preventive health guidelines available online

Administrative

Coding Spotlight: Cancer A provider’s guide to properly code cancers

Medicaid

Dual Eligible Special Needs Plans - provider training required

Medicare

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

Products & Programs

Empire launches additional changes to empireblue.com in March

Administrative

Explore the updates to the Medical Attachment Tool

Administrative

HEDIS 2019: Controlling High Blood Pressure

Administrative

Important reminder regarding Specialty Pharmacy clinical site of care program

Pharmacy

Important update to Empire’s commercial drug lists

Pharmacy

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

Medicare

Keep up with Medicare news

Medicare

Latest Updates to EDI Gateway Migration

Administrative

Member Satisfaction with Behavioral Health Outpatient Services

Behavioral Health

Neonatal intensive care unit post-traumatic stress disorder program

Medicaid

Provider Transparency Update

Administrative

Reimbursement Policy Update

Medicaid

Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

Administrative

Site of Service Update

Administrative

Some of your patients will begin moving to IngenioRx in Q2 2019

Pharmacy

Un-adopted clinical guidelines effective January 1, 2019

Medical Policy & Clinical Guidelines

Update: evaluation and management with Modifier 25

Medicaid
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