New York
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

October 2020 Empire Provider News Medicaid Oct 1, 2020

SOMOS to manage delegated functions effective October 1, 2020

October 2020 Empire Provider News Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Empire Provider News Medicaid Oct 1, 2020

Asthma controller medications

October 2020 Empire Provider News Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Empire Provider News Medicaid Oct 1, 2020

What Matters Most online training course: improving patient experience

September 2020 Empire Provider News Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Empire Provider News Medicaid Sep 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

September 2020 Empire Provider News Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Empire Provider News Medicaid Sep 1, 2020

Controlling High Blood Pressure (CBP)

August 2020 Empire Provider News Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Empire Provider News Medicaid Aug 1, 2020

Provider data update

August 2020 Empire Provider News Medicaid Aug 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

August 2020 Empire Provider News Medicaid Aug 1, 2020

Keep up with Medicaid news

August 2020 Empire Provider News Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Empire Provider News Medicaid Jul 1, 2020

Introducing Interactive Care Reviewer - An online prior authorization tool

July 2020 Empire Provider News Medicaid Jul 1, 2020

Coding spotlight: Provider guide to coding for cardiovascular conditions

July 2020 Empire Provider News Medicaid Jul 1, 2020

Keep up with Medicaid news

July 2020 Empire Provider News Medicaid Jul 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Empire Provider News Medicaid Jun 1, 2020

2020 affirmative statement concerning utilization management decisions

June 2020 Empire Provider News Medicaid Jun 1, 2020

Modifier use reminders

June 2020 Empire Provider News Medicaid Jun 1, 2020

Coding spotlight - provider’s guide to code social determinants of health

June 2020 Empire Provider News Medicaid Jun 1, 2020

Follow-Up After Hospitalization for Mental Illness

June 2020 Empire Provider News Medicaid Jun 1, 2020

Complex Case Management program

June 2020 Empire Provider News Medicaid Jun 1, 2020

Members’ Rights and Responsibilities Statement

June 2020 Empire Provider News Medicaid Jun 1, 2020

Important information about utilization management

June 2020 Empire Provider News Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Empire Provider News Medicaid Jun 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Update to corrected claims filing guidelines

April 2020 Empire Provider News Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Empire Provider News Medicaid Apr 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

April 2020 Empire Provider News Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Empire Provider News Medicaid Apr 1, 2020

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Keep up with Medicaid news

March 2020 Empire Provider News Medicaid Mar 1, 2020

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)

February 2020 Empire Provider News Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Empire Provider News Medicaid Feb 1, 2020

Non-covered codes for Medicaid Managed Care (MMC) providers

February 2020 Empire Provider News Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Empire Provider News Medicaid Feb 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicaid Jan 1, 2020

Improving the patient experience

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates - August 2019

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria - September 2019

January 2020 Empire Provider News Medicaid Jan 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

January 2020 Empire Provider News Medicaid Jan 1, 2020

Coding spotlight - provider’s guide to coding respiratory diseases

January 2020 Empire Provider News Medicaid Jan 1, 2020

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Empire Provider News Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Empire Provider News Medicaid Nov 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - March 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Empire Provider News Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Empire Provider News Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Empire Provider News Medicaid Oct 1, 2019

Coming soon: electronic attachments

September 2019 Empire Provider News Medicaid Sep 1, 2019

Prior authorization changes

September 2019 Empire Provider News Medicaid Sep 1, 2019

Evaluation and management services - over-coded services

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

MCG Care Guidelines update and customizations

September 2019 Empire Provider News Medicaid Sep 1, 2019

Ensuring quality of care when prescribing antipsychotic medications to children and adolescents

September 2019 Empire Provider News Medicaid Sep 1, 2019

Provider satisfaction survey

September 2019 Empire Provider News Medicaid Sep 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Empire Provider News Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Use the Provider Maintenance Form to update your information

August 2019 Empire Provider News Medicaid Aug 1, 2019

Prepayment clinical validation review process

August 2019 Empire Provider News Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Empire Provider News Medicaid Aug 1, 2019

New service types added to Availity

July 2019 Empire Provider News Medicaid Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Empire Provider News Medicaid Jul 1, 2019

Trauma-informed care

July 2019 Empire Provider News Medicaid Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Empire Provider News Medicaid Jul 1, 2019

Unspecified diagnosis code update

July 2019 Empire Provider News Medicaid Jul 1, 2019

Coding Spotlight: Hypertension, A providers’ guide for coding

July 2019 Empire Provider News Medicaid Jul 1, 2019

Health Homes - a valuable provider of community-based care coordination

July 2019 Empire Provider News Medicaid Jul 1, 2019

Reimbursement Policy Update: Multiple Radiology Payment Reduction (Policy 12-002)

July 2019 Empire Provider News Medicaid Jul 1, 2019

Pharmacy benefit manager change

July 2019 Empire Provider News Medicaid Jul 1, 2019

New York City Department of Health advisory: HIV outbreak risk factors are present in New York City

July 2019 Empire Provider News Medicaid Jul 1, 2019

Prior authorization requirement update

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Remittance Inquiry tool now available

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Members’ Rights and Responsibilities Statement

June 2019 Empire Provider Newsletter Medicaid Jun 1, 2019

Clinical Criteria updates

May 2019 Empire Provider Newsletter Medicaid May 1, 2019

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Help prevent preeclampsia with prenatal aspirin

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Medical necessity review for appropriate level of care

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Online registration processes for electronic funds transfers and electronic remittance advices

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019
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