New York
Provider Communications

Articles

Title Publication Category Date

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Newsletter Administrative Feb 1, 2023

New policy for clinical data sharing and ADT notifications

Material Adverse Change (MAC)
February 2023 Newsletter Administrative Feb 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Newsletter Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Newsletter Administrative Feb 1, 2023

Participating provider contractual obligations: Advanced patient notice policy for non-participating provider referrals

February 2023 Newsletter Administrative Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Newsletter Digital Tools Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Newsletter Digital Tools Feb 1, 2023

Medical Policy and Clinical Guideline updates

Material Adverse Change (MAC)
February 2023 Newsletter Medical Policy & Clinical Guidelines Feb 1, 2023

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

February 2023 Newsletter Medical Policy & Clinical Guidelines Feb 1, 2023

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
February 2023 Newsletter Pharmacy Feb 1, 2023

Specialty pharmacy updates - February 2023

Material Adverse Change (MAC)
February 2023 Newsletter Pharmacy Feb 1, 2023

Keep up with Medicaid news - February 2023

View these Medicaid articles:
February 2023 Newsletter Medicaid Feb 1, 2023

Mutual of America New York moves to the Empire BlueCross BlueShield retiree solutions Medicare Advantage plan

February 2023 Newsletter Medicare Feb 1, 2023

City of Manchester Offers Medicare Advantage Option

February 2023 Newsletter Medicare Feb 1, 2023

Keep up with Medicare news - February 2023

View these Medicare articles:
February 2023 Newsletter Medicare Feb 1, 2023

Important reminder: New ID cards for many of our Empire BlueCross BlueShield members

New ID cards for Empire BlueCross BlueShield members Administrative Jan 19, 2023

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
January 2023 Newsletter Administrative Dec 30, 2022

Professional system updates for 2023

January 2023 Newsletter Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Newsletter Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Newsletter Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Newsletter Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Newsletter Administrative Dec 30, 2022

Empire BlueCross BlueShield local precertification change in New York

Material Adverse Change (MAC)
January 2023 Newsletter Administrative Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Newsletter Administrative Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines* Material adverse change

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Medical Policy and Clinical Guidelines updates

Material Adverse Change (MAC)
January 2023 Newsletter Medical Policy & Clinical Guidelines Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
January 2023 Newsletter Reimbursement Policies Dec 30, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)
January 2023 Newsletter Pharmacy Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

Material Adverse Change (MAC)
January 2023 Newsletter Federal Employee Plan (FEP) Dec 30, 2022

Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

January 2023 Newsletter Medicaid Dec 30, 2022

Keep up with Medicaid news - January 2023

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January 2023 Newsletter Medicaid Dec 30, 2022

Keep up with Medicare news - January 2023

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January 2023 Newsletter Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Newsletter Administrative Dec 1, 2022

Important information about utilization management

December 2022 Newsletter Administrative Dec 1, 2022

State of Connecticut employer group - BlueCare Prime update

December 2022 Newsletter Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Newsletter Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Newsletter Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on empireblue.com

December 2022 Newsletter Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Newsletter Administrative Dec 1, 2022

Case management program

December 2022 Newsletter Administrative Dec 1, 2022

Coordination of care

December 2022 Newsletter Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Newsletter Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Newsletter Administrative Dec 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Newsletter Pharmacy Dec 1, 2022

Specialty pharmacy updates - December 2022

Material Adverse Change (MAC)
December 2022 Newsletter Pharmacy Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Newsletter Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

Material Adverse Change (MAC)
December 2022 Newsletter Reimbursement Policies Dec 1, 2022

Update to the Pregnancy Notification Form

December 2022 Newsletter Medicaid Dec 1, 2022

Oral health equity

December 2022 Newsletter Medicaid Dec 1, 2022

Keep up with Medicaid news - December 2022

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December 2022 Newsletter Medicaid Dec 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

December 2022 Newsletter Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Newsletter Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Newsletter Medicare Dec 1, 2022

Keep up with Medicare news - December 2022

View these Medicaid articles:
December 2022 Newsletter Medicare Dec 1, 2022

Physician Office Lab (POL) Listing - Updates Effective February 1, 2023

November 2022 Newsletter Administrative Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Newsletter Administrative Nov 1, 2022

Mail is being forwarded to new post office box addresses for one year

November 2022 Newsletter Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Newsletter Administrative Nov 1, 2022

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)
November 2022 Newsletter Pharmacy Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Newsletter Digital Tools Nov 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

November 2022 Newsletter Digital Tools Nov 1, 2022

Submit digital attachments within 7 calendar days for claims filed with a PWK segment indicator

November 2022 Newsletter Digital Tools Nov 1, 2022

Now, you can submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Newsletter Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Newsletter Digital Tools Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Newsletter Digital Tools Nov 1, 2022

Medical Policy and Clinical Guideline updates

Material Adverse Change (MAC)
November 2022 Newsletter Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Newsletter Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service (Facility)

Material Adverse Change (MAC)
November 2022 Newsletter Reimbursement Policies Nov 1, 2022

Guidance for coding evaluation and management services for new and established patients

November 2022 Newsletter Medicaid Nov 1, 2022

Important information about utilization management

November 2022 Newsletter Medicaid Nov 1, 2022

Antipsychotic medications and diabetes

November 2022 Newsletter Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Newsletter Medicaid Nov 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

November 2022 Newsletter Medicaid Nov 1, 2022

Keep up with Medicaid news - November 2022

View these Medicaid articles:
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022
November 2022 Newsletter Medicaid Nov 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

November 2022 Newsletter Medicare Nov 1, 2022

Keep up with Medicare news - November 2022

View these Medicare articles:
  • Medical drug benefit Clinical Criteria updates
  • New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
  • New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Newsletter Medicare Nov 1, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management Administrative Oct 7, 2022

Physician Office Lab (POL) List - October updates postponed

October 2022 Newsletter Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Newsletter Administrative Oct 1, 2022

Precertification list change

Material Adverse Change (MAC)
October 2022 Newsletter Administrative Oct 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Newsletter Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Newsletter Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Newsletter Digital Tools Oct 1, 2022

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

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
October 2022 Newsletter Reimbursement Policies Oct 1, 2022

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

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

October 2022 Newsletter Medicaid Oct 1, 2022
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