New York
Provider Communications

Articles Category: Products & Programs

Title	Publication	Category	Date
Update to claim processing for services requiring AIM prior authorization	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Empire expands specialty pharmacy prior authorization list	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Reminder: Empire accepts prior authorization requests for prescription medications online	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Pharmacy information available on empireblue.com/provider	June 2018 Empire Provider Newsletter	Pharmacy	May 30, 2018
Verifying eligibility for expanded hospice benefits	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire’s Individualized Care Program to support palliative care for commercial members	June 2018 Empire Provider Newsletter	Products & Programs	May 30, 2018
Empire Adopts MCG Care Guidelines for Behavioral Health Services	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Outpatient visits	June 2018 Empire Provider Newsletter	Behavioral Health	May 30, 2018
Update to AIM Radiation Oncology Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Updates to AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Empire engages with Alliant Health Solutions	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
New Eating Disorder Service Available to Empire Members	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
Empire expands specialty pharmacy prior authorization list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire expands specialty pharmacy clinical site of care (level of care) drug list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire removes drugs from specialty pharmacy clinical site of care	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire to update drug lists supporting commercial health plans	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire accepts prior authorization requests for prescription medications online	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire applies daily morphine equivalent dosing limit	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Pharmacy information available on empireblue.com	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire expands specialty pharmacy prior authorization list	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Empire Expands specialty pharmacy clinically equivalent drug list	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Empire expands specialty pharmacy level of care (clinical site of care) drug list	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Empire accepts prior authorization requests for prescription medications online	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Access patient-specific drug benefit information through EMR	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Pharmacy information available on empireblue.com	October 2018 Empire Provider Newsletter	Pharmacy	Oct 1, 2018
Empire accepts electronic prior authorization requests for prescription medications online	December 2018 Empire Provider Newsletter	Pharmacy	Dec 1, 2018
Introducing the new Clinical Criteria page for injectable, infused or implanted drugs	December 2018 Empire Provider Newsletter	Pharmacy	Dec 1, 2018
Pharmacy information available on empireblue.com	December 2018 Empire Provider Newsletter	Pharmacy	Dec 1, 2018
Simplifying medication prior authorization processes	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Update regarding drugs not approved by the FDA	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Pharmacy information available on empireblue.com	January 2019 Empire Provider Newsletter	Pharmacy	Jan 1, 2019
Empire expands specialty pharmacy medical step therapy drug list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Empire expands specialty pharmacy prior authorization list	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Clinical criteria updates for specialty pharmacy	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Pharmacy information available on empireblue.com	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest	March 2019 Empire Provider Newsletter	Products & Programs	Mar 1, 2019
Some of your patients will begin moving to IngenioRx in Q2 2019	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Important update to Empire’s commercial drug lists	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Important reminder regarding Specialty Pharmacy clinical site of care program	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Member Satisfaction with Behavioral Health Outpatient Services	March 2019 Empire Provider Newsletter	Behavioral Health	Mar 1, 2019
Reminder of New Referral Process	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
New AIM Rehabilitative program effective July 1, 2019	April 2019 Empire Provider Newsletter	Products & Programs	Apr 1, 2019
Empire expands specialty pharmacy prior authorization list	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Pharmacy information available on empireblue.com	April 2019 Empire Provider Newsletter	Pharmacy	Apr 1, 2019
Empire expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Empire specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Pharmacy information available on empireblue.com	May 2019 Empire Provider Newsletter	Pharmacy	May 1, 2019
Reminder and update: new Rehabilitative Program effective July 1, 2019	June 2019 Empire Provider Newsletter	Products & Programs	Jun 1, 2019
AIM programs may require additional prior authorization documentation	June 2019 Empire Provider Newsletter	Products & Programs	Jun 1, 2019
Empire Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019	June 2019 Empire Provider Newsletter	Pharmacy	Jun 1, 2019
Empire expands specialty pharmacy prior authorization list	June 2019 Empire Provider Newsletter	Pharmacy	Jun 1, 2019
Pharmacy information available on empireblue.com	June 2019 Empire Provider Newsletter	Pharmacy	Jun 1, 2019
Pharmacy Benefit Manager Change	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical criteria updates for specialty pharmacy	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical Criteria coding updates for specialty pharmacy are available	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
UPDATE: New Rehabilitative Program now effective August 1, 2019	Important Update from Empire	Products & Programs	Jul 3, 2019
UPDATE: new Rehabilitative Program remains temporarily delayed	UPDATE: new Rehabilitative Program remains temporarily delayed	Products & Programs	Jul 16, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Reminder: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Pharmacy information available on empireblue.com	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Clinical Criteria updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Access requirements for Behavioral Healthcare services	September 2019 Empire Provider News	Behavioral Health	Sep 1, 2019
UPDATE: New AIM Rehabilitative Program will begin November 1, 2019	October 2019 Empire Provider News	Products & Programs	Oct 1, 2019
Empire specialty pharmacy medical step therapy drug list - clarification	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Important update to Empire’s commercial drug lists	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Pharmacy information available on empireblue.com	October 2019 Empire Provider News	Pharmacy	Oct 1, 2019
Reminder about AIM’s new Rehabilitative Program effective November 1, 2019	November 2019 Empire Provider News	Products & Programs	Nov 1, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Prior authorization updates for specialty pharmacy are available	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
Clinical Criteria updates for specialty pharmacy are available	November 2019 Empire Provider News	Pharmacy	Nov 1, 2019
REMINDER: New AIM Rehabilitative Program effective November 1, 2019	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Case Management Program	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Pharmacy information available on empireblue.com	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
Clinical Criteria updates for specialty pharmacy are available	December 2019 Empire Provider News	Pharmacy	Dec 1, 2019
New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020	January 2020 Empire Provider News	Products & Programs	Jan 1, 2020
Shine Light on Depression: school-based suicide prevention initiative	February 2020 Empire Provider News	Behavioral Health	Feb 1, 2020
Pharmacy Prior Authorization processing to transition to Empire's Pharmacy Benefit Manager: IngenioRx, Inc.	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Empire to update formulary lists for commercial health plan pharmacy benefit	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Clinical Criteria updates for specialty pharmacy are available	February 2020 Empire Provider News	Pharmacy	Feb 1, 2020
Clinical Criteria updates for specialty pharmacy are available	March 2020 Empire Provider News	Pharmacy	Mar 1, 2020
Pharmacy information available on empireblue.com	March 2020 Empire Provider News	Pharmacy	Mar 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
Empire prior authorization updates for specialty pharmacy are available	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Pharmacy information available on empireblue.com	April 2020 Empire Provider News	Pharmacy	Apr 1, 2020
Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefit	COVID-19 Information - Publication RETIRED as of November 8, 2022	Pharmacy	Apr 1, 2020
Prior authorization updates for specialty pharmacy are available	May 2020 Empire Provider News	Pharmacy	May 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
Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond	N/A	Behavioral Health	Jun 1, 2020
Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available	June 2020 Empire Provider News	Behavioral Health	Jun 1, 2020
Follow-Up after Hospitalization for Mental Illness	June 2020 Empire Provider News	Behavioral Health	Jun 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

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