New York
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Newsletter Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Newsletter Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Newsletter Medicare May 1, 2022

Keep up with Medicare news - May 2022

View these Medicare articles:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements
May 2022 Newsletter Medicare May 1, 2022

The Anthem, Inc. name is changing

April 2022 Newsletter Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Newsletter Medicare Apr 1, 2022

Reimbursement Policy Update: Inpatient Readmissions

April 2022 Newsletter Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Newsletter Medicare Apr 1, 2022

Model of Care required training

April 2022 Newsletter Medicare Apr 1, 2022

The impact of listening

April 2022 Newsletter Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

View these Medicare articles:

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
April 2022 Newsletter Medicare Apr 1, 2022

New select plans on our HealthPlus Medicare network

March 2022 Newsletter Medicare Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Newsletter Medicare Mar 1, 2022

Medication adherence

March 2022 Newsletter Medicare Mar 1, 2022

Clinical Criteria updates

March 2022 Newsletter Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Newsletter Medicare Mar 1, 2022

Keep up with Medicare news - March 2022

View these Medicare articles:

  • Medical step therapy updates
March 2022 Newsletter Medicare Mar 1, 2022

Get faster payments with EFT

February 2022 Newsletter Medicare Feb 1, 2022

NYC Medicare Advantage Plus effective date change

January 2022 Newsletter Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Empire BlueCross BlueShield

January 2022 Newsletter Medicare Jan 1, 2022

Local 282 Welfare Trust Fund moves to Empire MediBlue Freedom (PPO) Medical plan

January 2022 Newsletter Medicare Jan 1, 2022

Professional claims — billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Newsletter Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Newsletter Medicare Jan 1, 2022

Keep up with Medicare news - January 2022

View these Medicare articles:

  • Medical step therapy updates
  • Empire BlueCross expands specialty pharmacy precertification list
  • AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
    update
January 2022 Newsletter Medicare Jan 1, 2022

City of New York GRS Alliance Program (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan (Updated 12/3/21)

December 2021 Newsletter Medicare Dec 1, 2021

Reimbursement Policy Update: Drug Screen Testing (effective March 1, 2022)

December 2021 Newsletter Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

December 2021 Newsletter Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Newsletter Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Newsletter Medicare Dec 1, 2021

Good news: Non-payment remittance advice enhancements are here

December 2021 Newsletter Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Newsletter Medicare Dec 1, 2021

Keep up with Medicare news - December 2021

View these Medicare articles:

  • Medical drug benefit Clinical Criteria updates
  • FAQ: NYC Medicare Advantage Plus
  • Protocol for providers serving members with hearing aid
    coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
December 2021 Newsletter Medicare Dec 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

November 2021 Newsletter Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Newsletter Medicare Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Empire BlueCross BlueShield offering Advance Medical Directives program for 2022

November 2021 Newsletter Medicare Nov 1, 2021

Keep up with Medicare news - November 2021

View this Medicare article:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
November 2021 Newsletter Medicare Nov 1, 2021

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

October 2021 Newsletter Medicare Oct 1, 2021

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

October 2021 Newsletter Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Newsletter Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Newsletter Medicare Oct 1, 2021

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

October 2021 Newsletter Medicare Oct 1, 2021

New Medical Step Therapy Requirements

October 2021 Newsletter Medicare Oct 1, 2021

Keep up with Medicare news - October 2021

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

City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option

September 2021 Newsletter Medicare Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)

September 2021 Newsletter Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Newsletter Medicare Sep 1, 2021

Prior authorization/Precertification form notification

September 2021 Newsletter Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:

  • Clinical Criteria Updates Notification May 2021
September 2021 Newsletter Medicare Sep 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Newsletter Medicare Aug 1, 2021

Policy reminder: Inpatient Readmissions

August 2021 Newsletter Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Newsletter Medicare Aug 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

Let’s Vaccinate

July 2021 Newsletter Medicare Jul 1, 2021

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

July 2021 Newsletter Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Newsletter Medicare Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Newsletter Medicare Jul 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Newsletter Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Newsletter Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Newsletter Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Newsletter Medicare Jun 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Newsletter Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Newsletter Medicare May 1, 2021

Keep up with Medicare news

May 2021 Newsletter Medicare May 1, 2021

Notify us of telehealth services

April 2021 Newsletter Medicare Apr 1, 2021

In-office assessment program

April 2021 Newsletter Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – November 2020

April 2021 Newsletter Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates – December 2020

April 2021 Newsletter Medicare Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Empire Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Empire Provider News Medicare Feb 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Empire Provider News Medicare Jan 1, 2021

Digital transactions cut administrative tasks in half

December 2020 Empire Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Empire Provider News Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Empire Provider News Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Empire Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Empire Provider News Medicare Dec 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

November 2020 Empire Provider News Medicare Nov 1, 2020

Provider Chat — A fast, easy way to get your questions answered

November 2020 Empire Provider News Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Empire Provider News Medicare Nov 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

FDA approvals and expedited pathways used — new molecular entities

November 2020 Empire Provider News Medicare Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Empire Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Empire Provider News Medicare Nov 1, 2020

Prior authorization requirements for the below codes (December 1, 2020)

October 2020 Empire Provider News Medicare Oct 1, 2020

Prior authorization requirements for the below codes (January 1, 2021)

October 2020 Empire Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Empire Provider News Medicare Oct 1, 2020

Evaluation and management services correct coding

October 2020 Empire Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Empire Provider News Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Empire Provider News Medicare Oct 1, 2020
Page 1 of 3 Next Page