New York
Provider Communications

Articles Category: State & Federal / Medicaid

Title Publication Category Date

Get your payments faster when you sign up for electronic funds transfer

October 2021 Newsletter Medicaid Oct 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Newsletter Medicaid Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicaid Oct 1, 2021

FAQ: Update to AIM phone number

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy IV

October 2021 Newsletter Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy V

October 2021 Newsletter Medicaid Oct 1, 2021

Keep up with Medicaid news - October 2021

View these Medicaid articles:
  • 2021 affirmative statement concerning utilization management decisions
  • May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Newsletter Medicaid Oct 1, 2021

Keep up with Medicaid news - September 2021

View these Medicaid article: 
  • Clinical Criteria Updates Notification May 2021
  • Iron Infusion Step Therapy
  • Iron Infusion Prior Authorization Update
September 2021 Newsletter Medicaid Sep 1, 2021

Keep up with Medicaid news

August 2021 Newsletter Medicaid Aug 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

July 2021 Newsletter Medicaid Jul 1, 2021

Let’s Vaccinate

July 2021 Newsletter Medicaid Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)

July 2021 Newsletter Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021

July 2021 Newsletter Medicaid Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Medicaid Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Newsletter Medicaid Jul 1, 2021

Retraction: AIM Rehabilitative program — initial evaluations and site of service reviews

July 2021 Newsletter Medicaid Jul 1, 2021

Updates to AIM Specialty Health Musculoskeletal program clinical appropriateness guidelines

July 2021 Newsletter Medicaid Jul 1, 2021

Coding spotlight: mental disorders in childhood

July 2021 Newsletter Medicaid Jul 1, 2021

What Matters Most: Improving the Patient Experience

July 2021 Newsletter Medicaid Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Newsletter Medicaid Jul 1, 2021

Keep up with Medicaid news

July 2021 Newsletter Medicaid Jul 1, 2021

Provider education program survey: Your Voice Counts

June 2021 Newsletter Medicaid Jun 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Newsletter Medicaid Jun 1, 2021

Keeping up with routine vaccination during COVID-19

June 2021 Newsletter Medicaid Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Newsletter Medicaid Jun 1, 2021

Complex Case Management program

June 2021 Newsletter Medicaid Jun 1, 2021

Important information about utilization management

June 2021 Newsletter Medicaid Jun 1, 2021

Members’ Rights and Responsibilities Statement

June 2021 Newsletter Medicaid Jun 1, 2021

Keep up with Medicaid news

June 2021 Newsletter Medicaid Jun 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Newsletter Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicaid May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicaid May 1, 2021

Continuing medical education/continuing education unit opportunities

May 2021 Newsletter Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Newsletter Medicaid May 1, 2021

Keep up with Medicaid news

April 2021 Newsletter Medicaid Apr 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicaid Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Empire Provider News Medicaid Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Empire Provider News Medicaid Mar 1, 2021

Ocrevus/Vyepti Medical Step Therapy Notice

March 2021 Empire Provider News Medicaid Mar 1, 2021

Prior authorization requirements for 55899

February 2021 Empire Provider News Medicaid Feb 1, 2021

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

February 2021 Empire Provider News Medicaid Feb 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviews

February 2021 Empire Provider News Medicaid Feb 1, 2021

New specialty pharmacy medical step therapy requirements

February 2021 Empire Provider News Medicaid Feb 1, 2021

Colorectal Cancer Screening (COL) - ensuring quality of care

February 2021 Empire Provider News Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Empire Provider News Medicaid Feb 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Empire Provider News Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicaid Feb 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Empire Provider News Medicaid Feb 1, 2021

Keep up with Medicaid news

February 2021 Empire Provider News Medicaid Feb 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicaid Jan 1, 2021

FDA approvals and expedited pathways used — new molecular entities (NMEs)

January 2021 Empire Provider News Medicaid Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicaid Jan 1, 2021

Coding spotlight: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

Disease Management/Population Health program

January 2021 Empire Provider News Medicaid Jan 1, 2021

Keep up with Medicaid news

January 2021 Empire Provider News Medicaid Jan 1, 2021

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicaid Dec 1, 2020

Sign up to receive email from Empire BlueCross BlueShield HealthPlus

December 2020 Empire Provider News Medicaid Dec 1, 2020

CAHPS education for providers

December 2020 Empire Provider News Medicaid Dec 1, 2020

Notifications on the Availity Portal

December 2020 Empire Provider News Medicaid Dec 1, 2020

Resources to support your pregnant and postpartum patients and their families

December 2020 Empire Provider News Medicaid Dec 1, 2020

Flu vaccination reimbursement

December 2020 Empire Provider News Medicaid Dec 1, 2020

Update to reimbursement policy usage

December 2020 Empire Provider News Medicaid Dec 1, 2020

Keep up with Medicaid news

December 2020 Empire Provider News Medicaid Dec 1, 2020

Attention: Updated laboratory fee schedule

November 2020 Empire Provider News Medicaid Nov 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Medicaid Nov 1, 2020

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

November 2020 Empire Provider News Medicaid Nov 1, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

November 2020 Empire Provider News Medicaid Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicaid Nov 1, 2020

Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)

November 2020 Empire Provider News Medicaid Nov 1, 2020

Coding spotlight: tips and best practices for compliance

November 2020 Empire Provider News Medicaid Nov 1, 2020

Inhaled nitric oxide reviews for diagnosis-related group admissions

November 2020 Empire Provider News Medicaid Nov 1, 2020

Provider transparency update

November 2020 Empire Provider News Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Herceptin)

November 2020 Empire Provider News Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Avastin)

November 2020 Empire Provider News Medicaid Nov 1, 2020

Keep up with Medicaid news

November 2020 Empire Provider News Medicaid Nov 1, 2020

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
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