New York
Provider Communications

Articles Category: Products & Programs

Title	Publication	Category	Date
Blue Precision program to be retired at the end of the year	July 2021 Newsletter	Products & Programs	Jul 1, 2021
Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021 Material adverse change (MAC) notification	July 2021 Newsletter	Products & Programs	Jul 1, 2021
AIM Rehabilitative program - initial evaluations and site of service reviews	July 2021 Newsletter	Products & Programs	Jul 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Updates for specialty pharmacy are effective October 1, 2021 Material adverse change (MAC) notification	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Designated specialty pharmacy network updates effective October 1, 2021 Material adverse change (MAC) notification	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Let’s Vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies.	June 2021 Newsletter	Products & Programs	Jun 1, 2021
Updates for specialty pharmacy effective September 1, 2021 Material adverse change (MAC) notification	June 2021 Newsletter	Pharmacy	Jun 1, 2021
Designated specialty pharmacy network updates	June 2021 Newsletter	Pharmacy	Jun 1, 2021
Pharmacy information available on empireblue.com	June 2021 Newsletter	Pharmacy	Jun 1, 2021
Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021	May 2021 Newsletter	Products & Programs	May 1, 2021
Updates for Specialty pharmacy effective August 1, 2021 Material adverse change (MAC) notification	May 2021 Newsletter	Pharmacy	May 1, 2021
Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization Material adverse change (MAC) notification	May 2021 Newsletter	Pharmacy	May 1, 2021
Clinical criteria updates for specialty pharmacy Material adverse change (MAC) notification	May 2021 Newsletter	Pharmacy	May 1, 2021
Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 Material adverse change (MAC) notification	April 2021 Newsletter	Products & Programs	Apr 1, 2021
Interactive bilingual website acting for our health Exclusively developed for the latino community.	April 2021 Newsletter	Products & Programs	Apr 1, 2021
The heath of millennials: Trends in behavioral health conditions	April 2021 Newsletter	Behavioral Health	Apr 1, 2021
Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Updates for specialty pharmacy are available Material adverse change (MAC) notification	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Clinical criteria updates for specialty pharmacy Material adverse change (MAC) notification	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Pharmacy information available on empireblue.com	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021 Material Adverse Change (MAC) Notification	March 2021 Empire Provider News	Products & Programs	Mar 1, 2021
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC) Notification	March 2021 Empire Provider News	Pharmacy	Mar 1, 2021
Some HIV medication combinations may require prior authorization	March 2021 Empire Provider News	Pharmacy	Mar 1, 2021
Updates for Specialty Pharmacy are available Material Adverse Change (MAC) Notification	March 2021 Empire Provider News	Pharmacy	Mar 1, 2021
Prior authorization updates for specialty pharmacy are available Material Adverse Change (MAC) Notification	February 2021 Empire Provider News	Pharmacy	Feb 1, 2021
Empire to update formulary lists for commercial health plan pharmacy benefit	February 2021 Empire Provider News	Pharmacy	Feb 1, 2021
Pharmacy information available on empireblue.com	February 2021 Empire Provider News	Pharmacy	Feb 1, 2021
IngenioRx introduces new pharmacy network in 2021	January 2021 Empire Provider News	Pharmacy	Jan 1, 2021
Prior Authorization updates for specialty pharmacy are available Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Pharmacy	Jan 1, 2021
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Pharmacy	Jan 1, 2021
AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021	December 2020 Empire Provider News	Products & Programs	Dec 1, 2020
Access requirements for behavioral healthcare services	December 2020 Empire Provider News	Behavioral Health	Dec 1, 2020
Prior authorization updates for specialty pharmacy - effective March 1, 2021 Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020 Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Pharmacy information available on empireblue.com	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Reminder: Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Products & Programs	Nov 1, 2020
Prior authorization updates for specialty pharmacy are available Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
IngenioRx Introduces New Pharmacy Network in 2021	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
Register today for a Racial Trauma Forum hosted by Empire and Motivo on October 28, 2020	Racial Trauma Forum Invitation	Behavioral Health	Oct 14, 2020
Site of Care medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021 Material Adverse Change	October 2020 Empire Provider News	Products & Programs	Oct 1, 2020
REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020	October 2020 Empire Provider News	Products & Programs	Oct 1, 2020
Empire updates formulary lists for commercial health plan pharmacy benefit	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Designated Specialty Pharmacies in 2021 Material Adverse Change	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
National Drug Code requirement on outpatient claims Material Adverse Change	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Prior authorization updates for specialty pharmacy are available	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Updated Coverage for Breast Cancer prevention medications	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
FDA approvals and expedited pathways used - New Molecular Entities (NMEs)	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Pharmacy information available on empireblue.com	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Empire to update formulary lists for commercial health plan pharmacy benefit	September 2020 Empire Provider News	Pharmacy	Sep 1, 2020
Updates for specialty pharmacy are available	September 2020 Empire Provider News	Pharmacy	Sep 1, 2020
Expansion of AIM Musculoskeletal Program effective November 1, 2020	August 2020 Empire Provider News	Products & Programs	Aug 1, 2020
Prior authorization updates for specialty pharmacy are available	August 2020 Empire Provider News	Pharmacy	Aug 1, 2020
Empire to update formulary lists for commercial health plan pharmacy benefit	August 2020 Empire Provider News	Pharmacy	Aug 1, 2020
Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020	August 2020 Empire Provider News	Pharmacy	Aug 1, 2020
Clinical Criteria updates for specialty pharmacy are available	August 2020 Empire Provider News	Pharmacy	Aug 1, 2020
Pharmacy information available on empireblue.com	August 2020 Empire Provider News	Pharmacy	Aug 1, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations	July 2020 Empire Provider News	Products & Programs	Jul 1, 2020
Updated Coverage for HIV PrEP medications	July 2020 Empire Provider News	Pharmacy	Jul 1, 2020
Prior authorization updates for specialty pharmacy are available	July 2020 Empire Provider News	Pharmacy	Jul 1, 2020
Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond	N/A	Behavioral Health	Jun 1, 2020
Prior authorization updates for specialty pharmacy effective September 1, 2020	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
Clinical Criteria updates for specialty pharmacy are available	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
Pharmacy information available on empireblue.com	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available	June 2020 Empire Provider News	Behavioral Health	Jun 1, 2020
Follow-Up after Hospitalization for Mental Illness	June 2020 Empire Provider News	Behavioral Health	Jun 1, 2020
Prior authorization updates for specialty pharmacy are available	May 2020 Empire Provider News	Pharmacy	May 1, 2020
Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit	COVID-19 Information	Pharmacy	Apr 1, 2020
Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020	April 2020 Empire Provider News	Products & Programs	Apr 1, 2020
Empire prior authorization updates for specialty pharmacy are available	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Pharmacy information available on empireblue.com	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Clinical Criteria updates for specialty pharmacy are available	March 2020 Empire Provider News	Pharmacy	Mar 1, 2020
Pharmacy information available on empireblue.com	March 2020 Empire Provider News	Pharmacy	Mar 1, 2020
Shine Light on Depression: school-based suicide prevention initiative	February 2020 Empire Provider News	Behavioral Health	Feb 1, 2020
Pharmacy Prior Authorization processing to transition to Empire's Pharmacy Benefit Manager: IngenioRx, Inc.	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Empire to update formulary lists for commercial health plan pharmacy benefit	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Clinical Criteria updates for specialty pharmacy are available	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020	January 2020 Empire Provider News	Products & Programs	Jan 1, 2020
REMINDER: New AIM Rehabilitative Program effective November 1, 2019	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Case Management Program	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Pharmacy information available on empireblue.com	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
Clinical Criteria updates for specialty pharmacy are available	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
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
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
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
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

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