New York
Provider Communications

October 2019 Empire Provider News

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Title Category

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)

UPDATE: New AIM Rehabilitative Program will begin November 1, 2019

Products & Programs

Update: 2019 risk adjustment provider training

Medicare

Reimbursement Policy update

Reimbursement Policies

Prior authorization requirements changes effective November 1, 2019

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicaid

Pre-certification information for the Federal Employee Program

Federal Employee Plan (FEP)

Pharmacy information available on empireblue.com

Pharmacy

New clinical guideline: pneumatic compression devices, effective December 1, 2019

Medicaid

National Accounts 2020 Pre-certification list

Administrative

Medicare preferred continuous glucose monitors

Medicare

Medical Policies and Clinical Utilization Management Guidelines update - March 2019

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

Medicare

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

Medicaid

Medical drug Clinical Criteria updates

Medicaid

Lowering health risks with no-cost statins

Medicare

Keep up with Medicare news

Medicare

Keep up with Medicaid news

Medicaid

Important update to Empire’s commercial drug lists

Pharmacy

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

Federal Employee Plan (FEP)

Empire specialty pharmacy medical step therapy drug list - clarification

Pharmacy

Empire launches additional changes to empireblue.com/provider

Administrative

Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Empire CRA Reporting Update: Retrospective Program continues

Administrative

Attention: updated physician lab fee schedules for Medicare Advantage products

Medicare

Aspire Telehealth Palliative Care program

Medicare
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