New York
Provider Communications

May 2020 Empire Provider News

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Title Category

Acquisition of Beacon Health Options

Medicaid

Clinical Criteria updates for specialty pharmacy are available

Medical Policy & Clinical Guidelines

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

Federal Employee Plan (FEP)

COVID-19 Information repository for Empire Care Providers

Administrative

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Keep up with Medicare news

Medicare

Medical Policy and Clinical Guideline updates

Medical Policy & Clinical Guidelines

Multi-dose packaging

Medicare

Outpatient Surgical Grouper

Reimbursement Policies

Prior authorization updates for specialty pharmacy are available

Pharmacy

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

Administrative

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicaid

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicare

Reminder about System Updates

Reimbursement Policies

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines
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