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Title Publication Category Date

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Empire Provider Newsletter Products & Programs Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important update to Empire’s commercial drug lists

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services

March 2019 Empire Provider Newsletter Behavioral Health Mar 1, 2019

Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Site of Service Update

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Empire launches additional changes to empireblue.com in March

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Latest Updates to EDI Gateway Migration

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Explore the updates to the Medical Attachment Tool

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Provider Transparency Update

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

HEDIS 2019: Controlling High Blood Pressure

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Un-adopted clinical guidelines effective January 1, 2019

March 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Dual Eligible Special Needs Plans - provider training required

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Update: evaluation and management with Modifier 25

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Reimbursement Policy Update

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Coding Spotlight: Cancer A provider’s guide to properly code cancers

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Access patient-specific drug benefit information through electronic medical records

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Neonatal intensive care unit post-traumatic stress disorder program

March 2019 Empire Provider Newsletter Medicaid Mar 1, 2019

Empire expands specialty pharmacy medical step therapy drug list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire expands specialty pharmacy prior authorization list

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available on empireblue.com

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Empire to enhance claim edits for outpatient facility claims

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available online

February 2019 Empire Provider Newsletter Administrative Feb 1, 2019

New and adopted clinical guidelines effective May 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Un-adopted clinical guidelines effective February 1, 2019

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Injectable Substances with Related Injection Services - (Professional)

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Reminder Review ICD-10-CM Coding Guidelines - Professional

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

HEDIS 2019 Federal Employee Program medical record request requirements

February 2019 Empire Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Empire follows Original Medicare policies

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Empire eye refraction and routine eye exam billing information

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Empire Provider Newsletter Medicare Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Diabetes Coding

February 2019 Empire Provider Newsletter Medicaid Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A N/A Jan 30, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Empire Members

January Empire Network eUPDATE Administrative Jan 25, 2019

Simplifying medication prior authorization processes

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available on empireblue.com

January 2019 Empire Provider Newsletter Pharmacy Jan 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Final Notice: Empire Facility and Physician Portal Retirement - January 9, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Streamline Workflow with Medical Attachments Tool

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

HEDIS 2019 starts early February

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available online

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Policy updates

January 2019 Empire Provider Newsletter Policy Updates Jan 1, 2019

Medical Policy Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical Guideline Updates

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guidelines communicated in October 2018 provider newsletter

January 2019 Empire Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Empire offers risk adjustment and documentation training

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Empire Provider Newsletter Medicare Jan 1, 2019

Transition of Outpatient Rehabilitation Utilization Management program

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

My Diverse Patients: A website to support your diverse patients

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

New Provider Learning Opportunity: Put the ProviderPortal to Work for You

January 2019 Empire Provider Newsletter Medicaid Jan 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

MediBlue Select HMO Network expands effective January 1, 2019

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Empire Provider Newsletter Medicare Dec 1, 2018

Electronic data interchange gateway update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Empire HealthPlus adopts MCG Care Guidelines for clinical reviews of mental health services

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Sublocade

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

UPDATE: Prior authorization requirements for high-level, definitive drug testing delayed

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Viral suppression rates improve in patients with HIV in the US,while disparities continue to exist

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation (Policy 06-031, effective 03/01/19)

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Empire Provider Newsletter Medicaid Dec 1, 2018

Clinical Guideline Updates

December 2018 Empire Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Empire accepts electronic prior authorization requests for prescription medications online

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on empireblue.com

December 2018 Empire Provider Newsletter Pharmacy Dec 1, 2018

Empire announces a new network - Blue Access

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Empire announces changes to the Individual Health Benefit Plans

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Prepare NOW for Empire Facility and Physician Portal Retirement

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Explore new enhancements to the Education and Reference Center

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018
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