New York
Provider Communications

Articles Recent

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

Page 1 of 3

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc. licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.