New York
Provider Communications

Articles Category: Products & Programs

Title	Publication	Category	Date
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
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
Telehealth visits can impact after-hospitalization follow-up care for mental illness	August 2022 Newsletter	Behavioral Health	Aug 1, 2022
Specialty pharmacy updates *Material Adverse Change (MAC)*	August 2022 Newsletter	Pharmacy	Aug 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	August 2022 Newsletter	Pharmacy	Aug 1, 2022
Pharmacy information available online	August 2022 Newsletter	Pharmacy	Aug 1, 2022
MCG to InterQual Behavioral Health Transition	July 2022 Newsletter	Behavioral Health	Jul 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	July 2022 Newsletter	Pharmacy	Jul 1, 2022
Pharmacy information available online	July 2022 Newsletter	Pharmacy	Jul 1, 2022
Opioid overdose deaths: What can we do?	June 2022 Newsletter	Behavioral Health	Jun 1, 2022
Specialty pharmacy updates - June 2022 *Material Adverse Change (MAC)*	June 2022 Newsletter	Pharmacy	Jun 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	May 2022 Newsletter	Pharmacy	May 1, 2022
Specialty pharmacy updates - May 2022 *Material Adverse Change (MAC)*	May 2022 Newsletter	Pharmacy	May 1, 2022
Importance of behavioral healthcare after-hours messaging	April 2022 Newsletter	Behavioral Health	Apr 1, 2022
Specialty pharmacy updates - April 2022 *Material Adverse Change (MAC)*	April 2022 Newsletter	Pharmacy	Apr 1, 2022
Reminder on Botox® for Empire members	April 2022 Newsletter	Pharmacy	Apr 1, 2022
Pharmacy information available on empireblue.com	April 2022 Newsletter	Pharmacy	Apr 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	March 2022 Newsletter	Pharmacy	Mar 1, 2022
Correction to February 2022 specialty pharmacy updates *Material Adverse Change (MAC)*	March 2022 Newsletter	Pharmacy	Mar 1, 2022
Specialty pharmacy updates – March 2022 *Material Adverse Change (MAC)*	March 2022 Newsletter	Pharmacy	Mar 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	February 2022 Newsletter	Pharmacy	Feb 1, 2022
Specialty pharmacy updates - February 2022 *Material Adverse Change (MAC)*	February 2022 Newsletter	Pharmacy	Feb 1, 2022
Pharmacy information available on empireblue.com	February 2022 Newsletter	Pharmacy	Feb 1, 2022
Empire to retire Blue Precision program on December 31, 2021	December 2021 Newsletter	Products & Programs	Dec 1, 2021
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC)	December 2021 Newsletter	Pharmacy	Dec 1, 2021
Specialty pharmacy updates - December 2021 Material Adverse Change (MAC)	December 2021 Newsletter	Pharmacy	Dec 1, 2021
Pharmacy information available on empireblue.com	December 2021 Newsletter	Pharmacy	Dec 1, 2021
Update regarding annual wellness visits for ACA-compliant health plans	November 2021 Newsletter	Products & Programs	Nov 1, 2021
Important update on Botox® for Empire members	November 2021 Newsletter	Pharmacy	Nov 1, 2021
Specialty pharmacy updates are available - November 2021 Material Adverse Change (MAC) notification	November 2021 Newsletter	Pharmacy	Nov 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	October 2021 Newsletter	Pharmacy	Oct 1, 2021
Designated specialty pharmacy network updates effective January 1, 2022 Material adverse change (MAC) notification	October 2021 Newsletter	Pharmacy	Oct 1, 2021
Specialty pharmacy updates - October 2021 Material adverse change (MAC) notification	October 2021 Newsletter	Pharmacy	Oct 1, 2021
Pharmacy information available on empireblue.com	October 2021 Newsletter	Pharmacy	Oct 1, 2021
Updates for specialty pharmacy are available - September 2021 Material adverse change (MAC) notification	September 2021 Newsletter	Pharmacy	Sep 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	September 2021 Newsletter	Pharmacy	Sep 1, 2021
Specialty dose rounding program for certain oncology medications	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Immune globulin adjusted body weight dosing program beginning August 1, 2021	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Clinical criteria updates for specialty pharmacy Material adverse change (MAC) notification	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Empire to update formulary lists for commercial health plan pharmacy benefit	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Updates for specialty pharmacy effective November 1, 2021	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Pharmacy information available on empireblue.com	August 2021 Newsletter	Pharmacy	Aug 1, 2021
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

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