New York
Provider Communications

Articles

Title Publication Category Date

Behavioral health Discharge Action Plan: improving care transitions

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Behavioral health network provider training

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Behavioral healthcare appointment access requirements

December 2021 Newsletter Administrative Dec 1, 2021

Benefit change for Infliximab for Federal Employee Program

December 2018 Empire Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Empire Provider Newsletter Administrative Jan 1, 2019

Blue Access Expands to Include Large Groups

December 2019 Empire Provider News Administrative Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Empire Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Blue High Performance Network name changing for 2022

November 2021 Newsletter Administrative Nov 1, 2021

Blue High Performance Network name changing for 2022

January 2022 Newsletter Administrative Jan 1, 2022

Blue Precision program to be retired at the end of the year

July 2021 Newsletter Products & Programs Jul 1, 2021

Body Mass Index (BMI) - Facility

February 2019 Empire Provider Newsletter Reimbursement Policies Feb 1, 2019

Botox update for Empire BlueCross BlueShield HealthPlus members

January 2022 Newsletter Medicaid Jan 1, 2022

Bundled Services and Supplies (Professional)

December 2020 Empire Provider News Reimbursement Policies Dec 1, 2020

Bundled Services and Supplies (Professional)

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Reimbursement Policies Nov 1, 2020

Bundled Services and Supplies - Professional

December 2018 Empire Provider Newsletter Reimbursement Policies Dec 1, 2018

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Newsletter Administrative Sep 1, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Newsletter Administrative Mar 1, 2022

CAA: Keep your provider directory information current

July 2022 Newsletter Administrative Jul 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Newsletter Administrative Nov 1, 2022

CAA: Provider directories accuracy is important

June 2022 Newsletter Administrative Jun 1, 2022

CAA: Review your online provider directory information

October 2022 Newsletter Administrative Oct 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Newsletter Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Newsletter Administrative Dec 1, 2022

CAA: Update your provider directory information

April 2022 Newsletter Administrative Apr 1, 2022

CAHPS education for providers

December 2020 Empire Provider News Medicaid Dec 1, 2020

CAHPS® survey

February 2021 Empire Provider News Medicaid Feb 1, 2021

Cancer Care Navigator

July 2022 Newsletter Medicare Jul 1, 2022

Cancer Care Navigator

February 2022 Newsletter Administrative Feb 1, 2022

Case Management Program

December 2019 Empire Provider News Products & Programs Dec 1, 2019

Case management program

December 2021 Newsletter Administrative Dec 1, 2021

Case Management Program

December 2018 Empire Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2020 Empire Provider News Administrative Dec 1, 2020

Case management program

December 2022 Newsletter Administrative Dec 1, 2022

Catching up on routine vaccines

April 2022 Newsletter Administrative Apr 1, 2022

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Pharmacy Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Medicaid Jul 1, 2021

Cervical length measurement by transvaginal ultrasound

October 2018 Empire Provider Newsletter Medicaid Oct 1, 2018

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Newsletter Administrative Nov 1, 2021

Change in email submission of service requests for Federal Employee Program members

Material adverse change (MAC) notification
August 2021 Newsletter Federal Employee Plan (FEP) Aug 1, 2021

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Change to the Federal Employee Program® Clinical Grievance and Appeal Address

March 2022 Newsletter Federal Employee Plan (FEP) Mar 1, 2022

Changes to Annual Verification Process

July 2020 Empire Provider News Administrative Jul 1, 2020

Changes to PA requirements

September 2019 Empire Provider News Medicare Sep 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Empire Provider News Administrative Jul 1, 2019

Charges for Personal Protective Equipment by Participating Providers

October 2020 Empire Provider News Administrative Oct 1, 2020

Chat directly with a prior authorization specialist

April 2021 Newsletter Administrative Apr 1, 2021

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Newsletter Administrative Dec 30, 2022

Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service

June 2018 Empire Provider Newsletter Medicaid May 30, 2018

Chlamydia screening

August 2022 Newsletter Medicaid Aug 1, 2022

Chlamydia screening for teens and young adults

December 2021 Newsletter Administrative Dec 1, 2021

City of Cincinnati Retirement System to offer Medicare Advantage option

December 2019 Empire Provider News Medicare Dec 1, 2019

City of Manchester Offers Medicare Advantage Option

February 2023 Newsletter Medicare Feb 1, 2023

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

December 2021 Newsletter Medicare Dec 1, 2021

City of New York offers Medicare Advantage option in 2022

August 2021 Newsletter Medicare Aug 1, 2021

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

September 2021 Newsletter Medicare Sep 1, 2021

City of New York Retirees transition to NYC Medicare Advantage Plus (Updated 12/3/21)

City of New York Retirees Transition to NYC Medicare Advantage Plus Administrative Nov 2, 2021

City of New York Retirees Transition to NYC Medicare Advantage Plus Delayed

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.
Transition to NYC Medicare Advantage Plus Delayed Administrative Mar 15, 2022

City of New York Retirees will transition to NYC Medicare Advantage Plus offered through an alliance between Empire and EmblemHealth

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan. Read important information about this change in the New York City Medicare Advantage announcement.

City of New York Retirees Transition to NYC Medicare Advantage Plus Administrative Jan 5, 2022

Claim editing update for Excludes1 notes

September 2019 Empire Provider News Reimbursement Policies Sep 1, 2019

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Newsletter Reimbursement Policies Apr 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

December 2021 Newsletter Medicaid Dec 1, 2021

Claims Status Listing & Remittance Inquiry Updates for Atypical Providers

July 2020 Empire Provider News Administrative Jul 1, 2020

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

November 2022 Newsletter Digital Tools Nov 1, 2022

Clarification to reimbursement policy update: Virtual Visits - Professional and Facility

February 2022 Newsletter Reimbursement Policies Feb 1, 2022

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

November 2021 Newsletter Reimbursement Policies Nov 1, 2021

Clarification: Empire’s enhanced claim edits for outpatient facility claims

October 2021 Newsletter Administrative Oct 1, 2021

Clearing up coding confusion for diabetic retinal screenings

July 2022 Newsletter Administrative Jul 1, 2022

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Newsletter Administrative Aug 1, 2021

Clinical appeals

October 2021 Newsletter Administrative Oct 1, 2021

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

September 2019 Empire Provider News Pharmacy Sep 1, 2019

Clinical Criteria and Prior Authorization updates for specialty pharmacy are available

August 2019 Empire Provider News Pharmacy Aug 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates

April 2022 Newsletter Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Newsletter Medicare Apr 1, 2022

Clinical Criteria updates

September 2022 Newsletter Medicaid Sep 1, 2022

Clinical Criteria updates

March 2022 Newsletter Medicare Mar 1, 2022

Clinical Criteria updates

November 2021 Newsletter Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Newsletter Medicare Nov 1, 2021

Clinical Criteria updates

April 2019 Empire Provider Newsletter Medicaid Apr 1, 2019

Clinical Criteria updates

May 2019 Empire Provider Newsletter Medicaid May 1, 2019

Clinical Criteria updates

September 2019 Empire Provider News Medicaid Sep 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Empire Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Pharmacy Mar 1, 2019

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
June 2021 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
July 2021 Newsletter Pharmacy Jul 1, 2021

Clinical criteria updates for specialty pharmacy

March 2019 Empire Provider Newsletter Medicare Mar 1, 2019

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Clinical criteria updates for specialty pharmacy

July 2019 Empire Provider News Pharmacy Jul 1, 2019

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
September 2021 Newsletter Pharmacy Sep 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
December 2021 Newsletter Pharmacy Dec 1, 2021

Clinical Criteria updates for specialty pharmacy

Material adverse change (MAC) notification
October 2021 Newsletter Pharmacy Oct 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification

August 2021 Newsletter Pharmacy Aug 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
September 2022 Newsletter Pharmacy Sep 1, 2022

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

Clinical Criteria updates for specialty pharmacy

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

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

February 2022 Newsletter Pharmacy Feb 1, 2022
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