New York
Provider Communications

Articles Recent

Title Publication Category Date

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Newsletter Administrative Dec 1, 2022

Important information about utilization management

December 2022 Newsletter Administrative Dec 1, 2022

State of Connecticut employer group - BlueCare Prime update

December 2022 Newsletter Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Newsletter Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Newsletter Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on empireblue.com

December 2022 Newsletter Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Newsletter Administrative Dec 1, 2022

Case management program

December 2022 Newsletter Administrative Dec 1, 2022

Coordination of care

December 2022 Newsletter Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Newsletter Administrative Dec 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Newsletter Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Newsletter Medicaid Dec 1, 2022

Oral health equity

December 2022 Newsletter Medicaid Dec 1, 2022

Keep up with Medicaid news - December 2022

View these Medicaid articles:
December 2022 Newsletter Medicaid Dec 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

December 2022 Newsletter Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Newsletter Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Newsletter Medicare Dec 1, 2022

Keep up with Medicare news - December 2022

View these Medicaid articles:
December 2022 Newsletter Medicare Dec 1, 2022

Physician Office Lab (POL) Listing - Updates Effective February 1, 2023

November 2022 Newsletter Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Newsletter Administrative Nov 1, 2022

Mail is being forwarded to new post office box addresses for one year

November 2022 Newsletter Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Newsletter Administrative Nov 1, 2022

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)
November 2022 Newsletter Pharmacy Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Newsletter Digital Tools Nov 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

November 2022 Newsletter Digital Tools Nov 1, 2022

Submit digital attachments within 7 calendar days for claims filed with a PWK segment indicator

November 2022 Newsletter Digital Tools Nov 1, 2022

Now, you can submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Newsletter Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Newsletter Digital Tools Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Newsletter Digital Tools Nov 1, 2022

Medical Policy and Clinical Guideline updates

Material Adverse Change (MAC)
November 2022 Newsletter Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Newsletter Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service (Facility)

Material Adverse Change (MAC)
November 2022 Newsletter Reimbursement Policies Nov 1, 2022

Guidance for coding evaluation and management services for new and established patients

November 2022 Newsletter Medicaid Nov 1, 2022

Important information about utilization management

November 2022 Newsletter Medicaid Nov 1, 2022

Antipsychotic medications and diabetes

November 2022 Newsletter Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Newsletter Medicaid Nov 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

November 2022 Newsletter Medicaid Nov 1, 2022

Keep up with Medicaid news - November 2022

View these Medicaid articles:
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022
November 2022 Newsletter Medicaid Nov 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

November 2022 Newsletter Medicare Nov 1, 2022

Keep up with Medicare news - November 2022

View these Medicare articles:
  • Medical drug benefit Clinical Criteria updates
  • New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
  • New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Newsletter Medicare Nov 1, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management Administrative Oct 7, 2022

Physician Office Lab (POL) List - October updates postponed

October 2022 Newsletter Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Newsletter Administrative Oct 1, 2022

Precertification list change

Material Adverse Change (MAC)
October 2022 Newsletter Administrative Oct 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Newsletter Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Newsletter Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Newsletter Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Newsletter Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
October 2022 Newsletter Pharmacy Oct 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
October 2022 Newsletter Pharmacy Oct 1, 2022

Pharmacy information available on empireblue.com

October 2022 Newsletter Pharmacy Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

Availity Provider Chat - a fast, easy way to get your UM questions answered for Federal Employees

October 2022 Newsletter Federal Employee Plan (FEP) Oct 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

October 2022 Newsletter Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Newsletter Medicaid Oct 1, 2022

Members’ Rights and Responsibilities

October 2022 Newsletter Medicaid Oct 1, 2022

Complex Case Management program

October 2022 Newsletter Medicaid Oct 1, 2022

Flu vaccination reimbursement

October 2022 Newsletter Medicaid Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

October 2022 Newsletter Medicaid Oct 1, 2022

Keep up with Medicaid news - October 2022

View these Medicaid articles:
  • Prior authorization updates for medications billed under the medical benefit – effective 11/1/22
  • Prior authorization updates for medications billed under the medical benefit – effective 12/1/22
  • New specialty pharmacy medical step therapy requirements
October 2022 Newsletter Medicaid Oct 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

October 2022 Newsletter Medicare Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Newsletter Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Newsletter Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

October 2022 Newsletter Medicare Oct 1, 2022

Keep up with Medicare news - October 2022

View these Medicare articles:
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list 
  • Consultation codes
October 2022 Newsletter Medicare Oct 1, 2022

Continuing to explore the intersection of race and disability

Continuing to Explore the Intersection of Race and Disability forum - New York Administrative Sep 9, 2022

Continuing to explore the intersection of race and disability

September 2022 Newsletter Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Newsletter Administrative Sep 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Newsletter Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Newsletter Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Newsletter Administrative Sep 1, 2022

Empire to accept Hospital in Home services

September 2022 Newsletter Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Newsletter Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Newsletter Digital Tools Sep 1, 2022

New Back Pain Management Program

September 2022 Newsletter Products & Programs Sep 1, 2022

Specialty pharmacy updates - September 2022

Material Adverse Change (MAC)
September 2022 Newsletter Pharmacy Sep 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
September 2022 Newsletter Pharmacy Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Newsletter Pharmacy Sep 1, 2022

Reimbursement policy update - Modifier Rules (Professional)

Material Adverse Change (MAC)
September 2022 Newsletter Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)

September 2022 Newsletter Reimbursement Policies Sep 1, 2022

Reimbursement policy update - Modifier 66: Surgical Teams (Professional)

September 2022 Newsletter Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Newsletter Federal Employee Plan (FEP) Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003), (Informational only)

September 2022 Newsletter Medicaid Sep 1, 2022

Clinical Criteria updates

September 2022 Newsletter Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements

September 2022 Newsletter Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Newsletter Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Newsletter Medicaid Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Newsletter Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003)

September 2022 Newsletter Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Newsletter Medicare Sep 1, 2022

Empire BlueCross BlueShield expands specialty pharmacy precertification list – effective 11/1/2022

September 2022 Newsletter Medicare Sep 1, 2022
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