New York
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
2019 FEP Benefit information available online	December 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	Dec 1, 2018
2019 Medicare Advantage individual benefits and formularies	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
2020 affirmative statement concerning utilization management decisions	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
2020 FEP Benefit information available online	January 2020 Empire Provider News	Federal Employee Plan (FEP)	Jan 1, 2020
2020 Medicare risk adjustment provider trainings	August 2020 Empire Provider News	Medicare	Aug 1, 2020
2020 Medicare risk adjustment provider trainings	June 2020 Empire Provider News	Medicare	Jun 1, 2020
2020 Medicare risk adjustment provider trainings	January 2021 Empire Provider News	Medicare	Jan 1, 2021
2020 Medicare risk adjustment provider trainings	April 2020 Empire Provider News	Medicare	Apr 1, 2020
2020 Special Needs Plans	July 2020 Empire Provider News	Medicare	Jul 1, 2020
2021 CAHPS Survey results	January 2022 Newsletter	Medicaid	Jan 1, 2022
2021 FEP® Benefit information available online	January 2021 Empire Provider News	Federal Employee Plan (FEP)	Jan 1, 2021
2021 Medicare Advantage individual benefits and formularies	December 2020 Empire Provider News	Medicare	Dec 1, 2020
2022 FEP® Benefit information available online	January 2022 Newsletter	Federal Employee Plan (FEP)	Jan 1, 2022
2022 Medicare Advantage service area and benefit updates	December 2021 Newsletter	Medicare	Dec 1, 2021
2023 Medicare Advantage service area and benefit updates	December 2022 Newsletter	Medicare	Dec 1, 2022
4 things you can do to encourage cancer screenings for your women patients	November 2021 Newsletter	Medicaid	Nov 1, 2021
Access patient-specific drug benefit information through electronic medical records	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Access to more claim denial information is now self-service	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Access to more claim denial information is now self-service	March 2021 Empire Provider News	Medicare	Mar 1, 2021
Acquisition of Beacon Health Options	May 2020 Empire Provider News	Medicaid	May 1, 2020
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies	December 2021 Newsletter	Medicare	Dec 1, 2021
Admission review process for Empire Federal Employee Program® (FEP) members	July 2020 Empire Provider News	Federal Employee Plan (FEP)	Jul 1, 2020
AIM Musculoskeletal program expansion	August 2020 Empire Provider News	Medicare	Aug 1, 2020
AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020	November 2020 Empire Provider News	Medicare	Nov 1, 2020
AIM Specialty Health programs may require documentation	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Alcohol use disorders linked to chronic diseases	September 2022 Newsletter	Medicaid	Sep 1, 2022
Alcohol use disorders often coexist with psychiatric disorders	November 2022 Newsletter	Medicaid	Nov 1, 2022
Annual wellness visits for Medicare Advantage members	March 2022 Newsletter	Medicare	Mar 1, 2022
Antibiotic dispensing guidelines	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Antipsychotic medications and diabetes	November 2022 Newsletter	Medicaid	Nov 1, 2022
Appointment access standards for PCPs, specialty care and behavioral health practitioners	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Aspire Health for members in need of palliative care	June 2021 Newsletter	Medicaid	Jun 1, 2021
Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Aspire Telehealth Palliative Care program	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Asthma controller medications	October 2020 Empire Provider News	Medicaid	Oct 1, 2020
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	July 2021 Newsletter	Medicaid	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	July 2021 Newsletter	Medicare	Jul 1, 2021
Attention: Updated laboratory fee schedule	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Attention: updated physician lab fee schedules for Medicare Advantage products	October 2019 Empire Provider News	Medicare	Oct 1, 2019
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
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
Bedford Central School District, New York moves to the Empire BlueCross BlueShield Retiree Solutions Medicare Advantage Plan	July 2022 Newsletter	Medicare	Jul 1, 2022
Behavioral health Discharge Action Plan: improving care transitions	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health network provider training	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Benefit change for Infliximab for Federal Employee Program	December 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	Dec 1, 2018
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Botox update for Empire BlueCross BlueShield HealthPlus members	January 2022 Newsletter	Medicaid	Jan 1, 2022
CAHPS education for providers	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
CAHPS® survey	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Cancer Care Navigator	July 2022 Newsletter	Medicare	Jul 1, 2022
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Medicaid	Jul 1, 2021
Cervical length measurement by transvaginal ultrasound	October 2018 Empire Provider Newsletter	Medicaid	Oct 1, 2018
Change in email submission of service requests for Federal Employee Program members Material adverse change (MAC) notification	August 2021 Newsletter	Federal Employee Plan (FEP)	Aug 1, 2021
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Change to the Federal Employee Program® Clinical Grievance and Appeal Address	March 2022 Newsletter	Federal Employee Plan (FEP)	Mar 1, 2022
Changes to PA requirements	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Chlamydia screening	August 2022 Newsletter	Medicaid	Aug 1, 2022
City of Cincinnati Retirement System to offer Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
City of Manchester Offers Medicare Advantage Option	February 2023 Newsletter	Medicare	Feb 1, 2023
City of New York GRS Alliance Program (Updated 12/3/21)	December 2021 Newsletter	Medicare	Dec 1, 2021
City of New York offers Medicare Advantage option in 2022	August 2021 Newsletter	Medicare	Aug 1, 2021
City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option	September 2021 Newsletter	Medicare	Sep 1, 2021
Claims editing update for ICD-10-CM Excludes1 notes	December 2021 Newsletter	Medicaid	Dec 1, 2021
Clinical Criteria updates	April 2022 Newsletter	Medicaid	Apr 1, 2022
Clinical Criteria updates	April 2022 Newsletter	Medicare	Apr 1, 2022
Clinical Criteria updates	September 2022 Newsletter	Medicaid	Sep 1, 2022
Clinical Criteria updates	March 2022 Newsletter	Medicare	Mar 1, 2022
Clinical Criteria updates	November 2021 Newsletter	Medicaid	Nov 1, 2021
Clinical Criteria updates	November 2021 Newsletter	Medicare	Nov 1, 2021
Clinical Criteria updates	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Clinical Criteria updates	May 2019 Empire Provider Newsletter	Medicaid	May 1, 2019
Clinical Criteria updates	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
CMS Medicare Preclusion List effective April 1, 2019	December 2018 Empire Provider Newsletter	Medicare	Dec 1, 2018
CMS reminder: expedited/urgent requests	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Coding Spotlight - Obesity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Coding spotlight - provider’s guide to code social determinants of health	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Coding spotlight - provider’s guide to coding respiratory diseases	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Coding Spotlight: Cancer A provider’s guide to properly code cancers	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Coding spotlight: HEDIS MY 2021	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Coding spotlight: HIV and AIDS	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Coding Spotlight: Hypertension, A providers’ guide for coding	July 2019 Empire Provider News	Medicaid	Jul 1, 2019
Coding spotlight: mental disorders in childhood	July 2021 Newsletter	Medicaid	Jul 1, 2021
Coding spotlight: Overview of the 2021 evaluation and management changes	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Coding spotlight: Provider guide to coding for cardiovascular conditions	July 2020 Empire Provider News	Medicaid	Jul 1, 2020
Coding spotlight: providers guide to coding for behavioral health disorders	October 2020 Empire Provider News	Medicaid	Oct 1, 2020
Coding spotlight: substance use disorders and smoking	December 2018 Empire Provider Newsletter	Medicaid	Dec 1, 2018
Coding spotlight: tips and best practices for compliance	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Coding tip for psychological and neuropsychological testing	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Cologuard covered for Medicare Advantage	June 2018 Empire Provider Newsletter	Medicare	May 30, 2018
Colorectal Cancer Screening (COL) - ensuring quality of care	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Coming soon: electronic attachments	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Coming soon: electronic attachments	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Empire Provider Newsletter	Medicare	Apr 1, 2019
Complex Case Management program	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Complex Case Management program	June 2021 Newsletter	Medicaid	Jun 1, 2021

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