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Articles Recent

Title	Publication	Category	Date
Reminder about AIM’s new Rehabilitative Program effective November 1, 2019	November 2019 Empire Provider News	Products & Programs	Nov 1, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Prior authorization updates for specialty pharmacy are available	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Clinical Criteria updates for specialty pharmacy are available	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Additional improvements coming to empireblue.com	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Appropriate coding helps provide a comprehensive picture of patients’ health	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Medical Policy & Clinical Guideline updates	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Keep up with Medicaid news	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicare	Nov 1, 2019
CMS reminder: expedited/urgent requests	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Keep up with Medicare news	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips	Critical information from Empire	Administrative	Oct 8, 2019
UPDATE: New AIM Rehabilitative Program will begin November 1, 2019	October 2019 Empire Provider News	Products & Programs	Oct 1, 2019
Empire specialty pharmacy medical step therapy drug list - clarification	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Important update to Empire’s commercial drug lists	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Pharmacy information available on empireblue.com	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Empire launches additional changes to empireblue.com/provider	October 2019 Empire Provider News	Administrative	Oct 1, 2019
National Accounts 2020 Pre-certification list	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire CRA Reporting Update: Retrospective Program continues	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Reimbursement Policy update	October 2019 Empire Provider News	Reimbursement Policies	Oct 1, 2019
Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
Pre-certification information for the Federal Employee Program	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
US Antibiotic Awareness Week is November 11-18, 2019	October 2019 Empire Provider News	Federal Employee Plan (FEP)	Oct 1, 2019
Aspire Telehealth Palliative Care program	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Attention: updated physician lab fee schedules for Medicare Advantage products	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update - June 2019	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Update: 2019 risk adjustment provider training	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Medicare preferred continuous glucose monitors	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Lowering health risks with no-cost statins	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Prior authorization requirements changes effective November 1, 2019	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Keep up with Medicare news	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update - March 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update - June 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
New clinical guideline: pneumatic compression devices, effective December 1, 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Medical drug Clinical Criteria updates	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Prior authorization requirements changes effective November 1, 2019	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Keep up with Medicaid news	October 2019 Empire Provider News	Medicaid	Oct 1, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Clinical Criteria updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Access requirements for Behavioral Healthcare services	September 2019 Empire Provider News	Behavioral Health	Sep 1, 2019
Reminder: Changes to timely filing requirements for Medicare Advantage	September 2019 Empire Provider News	Administrative	Sep 1, 2019
PCP after-hours access requirements	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire launches Sydney on September 1; New app offers better digital health care support to members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Reminder about lab services for Suffolk County members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Provider Transparency Update	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Policy updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
Coding Updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
New Reimbursement Policy - Maternity Services and Multiple Delivery - Professional	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - Professional	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
Claim editing update for Excludes1 notes	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
Coming soon: electronic attachments	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Prior authorization changes	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Evaluation and management services - over-coded services	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Clinical Criteria updates	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
MCG Care Guidelines update and customizations	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Ensuring quality of care when prescribing antipsychotic medications to children and adolescents	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Provider satisfaction survey	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Coming soon: electronic attachments	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Changes to PA requirements	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Pharmacy benefit manager change to IngenioRx	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Customizations to the 23rd edition of the MCG Care Guidelines	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Keep up with Medicare news	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Medicare Advantage: New service types added to Availity	August 2019 Empire Provider News	Medicare	Aug 1, 2019
Medicare Advantage: New Reimbursement Policy: Drug Screen Testing (Policy 19-001, effective 10/01/19)	August 2019 Empire Provider News	Medicare	Aug 1, 2019
Medicare Advantage: Special needs plans - provider training required	August 2019 Empire Provider News	Medicare	Aug 1, 2019
Keep up with Medicare news	August 2019 Empire Provider News	Medicare	Aug 1, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Reminder: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Pharmacy information available on empireblue.com	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Empire customization's to MCG care guidelines 23rd edition	August 2019 Empire Provider News	Administrative	Aug 1, 2019
New online Provider Manual page	August 2019 Empire Provider News	Administrative	Aug 1, 2019
Policy updates	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Reimbursement Policy Updates	August 2019 Empire Provider News	Reimbursement Policies	Aug 1, 2019
Update regarding Evaluation and Management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)	August 2019 Empire Provider News	Reimbursement Policies	Aug 1, 2019
AIM Specialty Health programs may require documentation	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Pharmacy management information	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Use the Provider Maintenance Form to update your information	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Prepayment clinical validation review process	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Keep up with Medicaid news	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Medicare Advantage: AIM Specialty Health programs may require documentation	August 2019 Empire Provider News	Medicare	Aug 1, 2019
UPDATE: new Rehabilitative Program remains temporarily delayed	UPDATE: new Rehabilitative Program remains temporarily delayed	Products & Programs	Jul 16, 2019
UPDATE: New Rehabilitative Program now effective August 1, 2019	Important Update from Empire	Products & Programs	Jul 3, 2019
Pharmacy Benefit Manager Change	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical criteria updates for specialty pharmacy	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical Criteria coding updates for specialty pharmacy are available	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical Validation - Professional	July 2019 Empire Provider News	Administrative	Jul 1, 2019

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