New York
Provider Communications

Articles

Title Publication Category Date

Prior authorization updates for specialty pharmacy are available

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Clinical Criteria updates for specialty pharmacy are available

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Pharmacy information available on empireblue.com

August 2020 Empire Provider News Pharmacy Aug 1, 2020

Migrate Your EDI Transactions to Availity Today

August 2020 Empire Provider News Administrative Aug 1, 2020

Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Empire Provider News Administrative Aug 1, 2020

Empire Electronic Attachments - X12 275 5010

August 2020 Empire Provider News Administrative Aug 1, 2020

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

August 2020 Empire Provider News Administrative Aug 1, 2020

Medical Record Standards

August 2020 Empire Provider News Administrative Aug 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Empire Provider News Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Empire Provider News Administrative Aug 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

2020 Medicare risk adjustment provider trainings

August 2020 Empire Provider News Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Empire Provider News Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Empire Provider News Medicare Aug 1, 2020

Provider data update

August 2020 Empire Provider News Medicare Aug 1, 2020

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

August 2020 Empire Provider News Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Empire Provider News Medicare Aug 1, 2020

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

July 2020 Empire Provider News Products & Programs Jul 1, 2020

Updated Coverage for HIV PrEP medications

July 2020 Empire Provider News Pharmacy Jul 1, 2020

Prior authorization updates for specialty pharmacy are available

July 2020 Empire Provider News Pharmacy Jul 1, 2020

Changes to Annual Verification Process

July 2020 Empire Provider News Administrative Jul 1, 2020

Suffolk County Lab Network

July 2020 Empire Provider News Administrative Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Empire Provider News Administrative Jul 1, 2020

Claims Status Listing & Remittance Inquiry Updates for Atypical Providers

July 2020 Empire Provider News Administrative Jul 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Empire Provider News Administrative Jul 1, 2020

CRA Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

July 2020 Empire Provider News Administrative Jul 1, 2020

Medical Policy and Clinical Guideline updates

July 2020 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Clinical Criteria updates for specialty pharmacy are available

July 2020 Empire Provider News Medical Policy & Clinical Guidelines Jul 1, 2020

Admission review process for Empire Federal Employee Program® (FEP) members

July 2020 Empire Provider News Federal Employee Plan (FEP) Jul 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

Prior authorization codes moving from AIM Specialty Health to Empire

July 2020 Empire Provider News Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Empire Provider News Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Empire Provider News Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Empire Provider News Medicare Jul 1, 2020

Introducing Interactive Care Reviewer - An online prior authorization tool

July 2020 Empire Provider News Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Empire Provider News Medicare Jul 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Empire hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information Administrative Jun 25, 2020

Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond

N/A Behavioral Health Jun 1, 2020

Prior authorization updates for specialty pharmacy effective September 1, 2020

June 2020 Empire Provider News Pharmacy Jun 1, 2020

Clinical Criteria updates for specialty pharmacy are available

June 2020 Empire Provider News Pharmacy Jun 1, 2020

Pharmacy information available on empireblue.com

June 2020 Empire Provider News Pharmacy Jun 1, 2020

Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available

June 2020 Empire Provider News Behavioral Health Jun 1, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

COVID-19 Information Administrative Jun 1, 2020

Follow-Up after Hospitalization for Mental Illness

June 2020 Empire Provider News Behavioral Health Jun 1, 2020

Be sure to notify Empire of changes to your demographic data

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire to change ID numbers for City of New York members

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire Covers HIV PrEP Medications at 100% for prevention

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Empire Provider News Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Empire Provider News Administrative Jun 1, 2020

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care

June 2020 Empire Provider News Administrative Jun 1, 2020

Medical Policy Updates

June 2020 Empire Provider News Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Empire Provider News Medical Policy & Clinical Guidelines Jun 1, 2020

New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional

June 2020 Empire Provider News Reimbursement Policies Jun 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

Introducing Interactive Care Reviewer - an online prior authorization tool

June 2020 Empire Provider News Medicare Jun 1, 2020

Empire working with Optum to collect medical records for risk adjustment

June 2020 Empire Provider News Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Empire Provider News Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Empire Provider News Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Empire Provider News Medicare Jun 1, 2020

Empire Waives Cost Share for COVID-19 Treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

Prior authorization updates for specialty pharmacy are available

May 2020 Empire Provider News Pharmacy May 1, 2020

COVID-19 Information repository for Empire Care Providers

May 2020 Empire Provider News Administrative May 1, 2020

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Empire Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

May 2020 Empire Provider News Administrative May 1, 2020

Medical Policy and Clinical Guideline updates

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Clinical Criteria updates for specialty pharmacy are available

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Reminder about System Updates

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Outpatient Surgical Grouper

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

May 2020 Empire Provider News Federal Employee Plan (FEP) May 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

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicare May 1, 2020

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

Keep up with Medicare news

May 2020 Empire Provider News Medicare May 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.

COVID-19 Information Administrative Apr 28, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Empire has complied information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information Administrative Apr 15, 2020

Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19, Provider Visits to Diagnose COVID-19, and all Telehealth Services

COVID-19 Information Administrative Apr 6, 2020

Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information Pharmacy Apr 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020

April 2020 Empire Provider News Products & Programs Apr 1, 2020
Previous Page Page 2 of 8 Next Page