New York
Provider Communications

Articles Category: Products & Programs

Title Publication Category Date

MCG to InterQual Behavioral Health Transition

July 2022 Newsletter Behavioral Health Jul 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

July 2022 Newsletter Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Newsletter Pharmacy Jul 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Newsletter Behavioral Health Jun 1, 2022

Specialty pharmacy updates - June 2022

Material Adverse Change (MAC)
June 2022 Newsletter Pharmacy Jun 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

May 2022 Newsletter Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Material Adverse Change (MAC)
May 2022 Newsletter Pharmacy May 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Newsletter Behavioral Health Apr 1, 2022

Specialty pharmacy updates - April 2022

Material Adverse Change (MAC)

April 2022 Newsletter Pharmacy Apr 1, 2022

Reminder on Botox® for Empire members

April 2022 Newsletter Pharmacy Apr 1, 2022

Pharmacy information available on empireblue.com

April 2022 Newsletter Pharmacy Apr 1, 2022

Clinical Criteria updates for specialty pharmacy

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

Correction to February 2022 specialty pharmacy updates

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

Specialty pharmacy updates – March 2022

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

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

February 2022 Newsletter Pharmacy Feb 1, 2022

Specialty pharmacy updates - February 2022

Material Adverse Change (MAC)
February 2022 Newsletter Pharmacy Feb 1, 2022

Pharmacy information available on empireblue.com

February 2022 Newsletter Pharmacy Feb 1, 2022

Empire to retire Blue Precision program on December 31, 2021

December 2021 Newsletter Products & Programs Dec 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Specialty pharmacy updates - December 2021

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

Pharmacy information available on empireblue.com

December 2021 Newsletter Pharmacy Dec 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Newsletter Products & Programs Nov 1, 2021

Important update on Botox® for Empire members

November 2021 Newsletter Pharmacy Nov 1, 2021

Specialty pharmacy updates are available - November 2021

Material Adverse Change (MAC) notification

November 2021 Newsletter Pharmacy Nov 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Designated specialty pharmacy network updates effective January 1, 2022

Material adverse change (MAC) notification

October 2021 Newsletter Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

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

Pharmacy information available on empireblue.com

October 2021 Newsletter Pharmacy Oct 1, 2021

Updates for specialty pharmacy are available - September 2021

Material adverse change (MAC) notification

September 2021 Newsletter Pharmacy Sep 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Specialty dose rounding program for certain oncology medications

August 2021 Newsletter Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification

August 2021 Newsletter Pharmacy Aug 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

August 2021 Newsletter Pharmacy Aug 1, 2021

Updates for specialty pharmacy effective November 1, 2021

August 2021 Newsletter Pharmacy Aug 1, 2021

Pharmacy information available on empireblue.com

August 2021 Newsletter Pharmacy Aug 1, 2021

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

July 2021 Newsletter Products & Programs Jul 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Material adverse change (MAC) notification

July 2021 Newsletter Products & Programs Jul 1, 2021

AIM Rehabilitative program - initial evaluations and site of service reviews

July 2021 Newsletter Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Newsletter Pharmacy Jul 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Updates for specialty pharmacy are effective October 1, 2021

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

Designated specialty pharmacy network updates effective October 1, 2021

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

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Newsletter Products & Programs Jun 1, 2021

Updates for specialty pharmacy effective September 1, 2021

Material adverse change (MAC) notification
June 2021 Newsletter Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates

June 2021 Newsletter Pharmacy Jun 1, 2021

Pharmacy information available on empireblue.com

June 2021 Newsletter Pharmacy Jun 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Newsletter Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021

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

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization

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

Clinical criteria updates for specialty pharmacy

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

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Material adverse change (MAC) notification
April 2021 Newsletter Products & Programs Apr 1, 2021

Interactive bilingual website acting for our health

Exclusively developed for the latino community.
April 2021 Newsletter Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Newsletter Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Newsletter Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Pharmacy information available on empireblue.com

April 2021 Newsletter Pharmacy Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Products & Programs Mar 1, 2021

Clinical Criteria updates for specialty pharmacy

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

Some HIV medication combinations may require prior authorization

March 2021 Empire Provider News Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available

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

Prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Pharmacy Feb 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2021 Empire Provider News Pharmacy Feb 1, 2021

Pharmacy information available on empireblue.com

February 2021 Empire Provider News Pharmacy Feb 1, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Empire Provider News Pharmacy Jan 1, 2021

Prior Authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 2021

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

December 2020 Empire Provider News Products & Programs Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Empire Provider News Behavioral Health Dec 1, 2020

Prior authorization updates for specialty pharmacy - effective March 1, 2021

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020

Material Adverse Change (MAC) Notification
December 2020 Empire Provider News Pharmacy Dec 1, 2020

Pharmacy information available on empireblue.com

December 2020 Empire Provider News Pharmacy Dec 1, 2020

Reminder: Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members

Material Adverse Change (MAC) notification
November 2020 Empire Provider News Products & Programs Nov 1, 2020

Prior authorization updates for specialty pharmacy are available

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

IngenioRx Introduces New Pharmacy Network in 2021

November 2020 Empire Provider News Pharmacy Nov 1, 2020

Clinical Criteria updates for specialty pharmacy are available

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

Register today for a Racial Trauma Forum hosted by Empire and Motivo on October 28, 2020

Racial Trauma Forum Invitation Behavioral Health Oct 14, 2020

Site of Care medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021

Material Adverse Change
October 2020 Empire Provider News Products & Programs Oct 1, 2020

REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020

October 2020 Empire Provider News Products & Programs Oct 1, 2020

Empire updates formulary lists for commercial health plan pharmacy benefit

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Designated Specialty Pharmacies in 2021

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

National Drug Code requirement on outpatient claims

Material Adverse Change
October 2020 Empire Provider News Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy are available

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Updated Coverage for Breast Cancer prevention medications

October 2020 Empire Provider News Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Pharmacy information available on empireblue.com

October 2020 Empire Provider News Pharmacy Oct 1, 2020

Empire to update formulary lists for commercial health plan pharmacy benefit

September 2020 Empire Provider News Pharmacy Sep 1, 2020

Updates for specialty pharmacy are available

September 2020 Empire Provider News Pharmacy Sep 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Empire Provider News Products & Programs Aug 1, 2020

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

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
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