New York
Provider Communications

March 2022 Newsletter

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Title Category

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Annual wellness visits for Medicare Advantage members

Medicare

CAA: Have you reviewed your online provider directory information lately?

Administrative

Change to the Federal Employee Program® Clinical Grievance and Appeal Address

Federal Employee Plan (FEP)

Clinical Criteria updates

Medicare

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
Pharmacy

Correction to February 2022 specialty pharmacy updates

Material Adverse Change (MAC)
Pharmacy

Enhancements to the Availity Authorization application are now available

Digital Tools

HEDIS 2022 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

It is CAHPS survey time!

Medicaid

Keep up with Medicare news - March 2022

View these Medicare articles:

  • Medical step therapy updates
Medicare

Medication adherence

Medicare

New select plans on our HealthPlus Medicare network

Medicare

New Strategic Provider System will launch in April 2022

Medicaid

New! Vaccination resource page for providers

Administrative

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare

Required: Cultural competence training

Medicaid

Simplifying requests for additional information

Digital Tools

Specialty pharmacy updates – March 2022

Material Adverse Change (MAC)
Pharmacy

Understanding your patients’ differences is lifesaving

Administrative

Updated Preventive Care Guidance regarding screening colonoscopies

Administrative

Urinary tract infection toolkits are on the way

Medicaid

Your influence matters: recommending cancer screenings to your patients

Administrative
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