New York
Provider Communications

March 2021 Empire Provider News

Title	Category
Access to more claim denial information is now self-service	Medicaid
Access to more claim denial information is now self-service	Medicare
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC) Notification	Pharmacy
Coding spotlight: Overview of the 2021 evaluation and management changes	Medicaid
Keep up with Medicare news	Medicare
MCG Care Guidelines 24th edition customization	Medicaid
Medical Attachment Capability: Itemized Bill and More	Administrative
Medical Policies and Clinical Utilization Management Guidelines update	Medicare
New provider directory indicator for telehealth services	Medicare
Ocrevus/Vyepti Medical Step Therapy Notice	Medicaid
Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021 Material Adverse Change (MAC) Notification	Products & Programs
Some HIV medication combinations may require prior authorization	Pharmacy
Update: Notice of changes to the AIM Small Joint Surgery Guideline	Medical Policy & Clinical Guidelines
Updates for Specialty Pharmacy are available Material Adverse Change (MAC) Notification	Pharmacy

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