New York
Provider Communications

Keep up with Medicare news - February 2023

Feb 1, 2023 • State & Federal / Medicare

Please continue to read news and updates at empireblue.com/medicareprovider for the latest Medicare Advantage information, including:

Introducing the Provider Learning Hub
Empire BlueCross expands specialty pharmacy precertification list (Fylnetra)
Empire BlueCross expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
New specialty pharmacy medical step therapy requirements (Infed, Injectafer, Monoferric)
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
Prior authorization requirement changes effective April 1, 2023
Medical Policies and Clinical Utilization Management Guidelines update
Revised program implementation date prior authorizations for post-acute care
Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

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February 2023 Newsletter

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