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Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List

Material Adverse Change
October 2020 Empire Provider News Federal Employee Plan (FEP) Oct 1, 2020

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

October 2020 Empire Provider News Medicaid Oct 1, 2020

SOMOS to manage delegated functions effective October 1, 2020

October 2020 Empire Provider News Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Empire Provider News Medicaid Oct 1, 2020

Asthma controller medications

October 2020 Empire Provider News Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicaid Oct 1, 2020

Coding spotlight: providers guide to coding for behavioral health disorders

October 2020 Empire Provider News Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Empire Provider News Medicaid Oct 1, 2020

Prior authorization requirements for the below codes (December 1, 2020)

October 2020 Empire Provider News Medicare Oct 1, 2020

Prior authorization requirements for the below codes (January 1, 2021)

October 2020 Empire Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Empire Provider News Medicare Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Empire Provider News Medicare Oct 1, 2020

Evaluation and management services correct coding

October 2020 Empire Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Empire Provider News Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Empire Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Empire Provider News Medicare Oct 1, 2020

What Matters Most online training course: improving patient experience

September 2020 Empire Provider News Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Empire Provider News Medicaid Sep 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

September 2020 Empire Provider News Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Empire Provider News Medicaid Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Empire Provider News Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Empire Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Empire Provider News Medicare Sep 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

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

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

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

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Empire Provider News Federal Employee Plan (FEP) Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Update to corrected claims filing guidelines

April 2020 Empire Provider News Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Empire Provider News Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Empire Provider News Medicaid Apr 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

April 2020 Empire Provider News Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Empire Provider News Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates (November 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates (December 2019)

April 2020 Empire Provider News Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Empire Provider News Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Empire Provider News Medicare Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Important Medicare Advantage Updates.
COVID-19 Information State & Federal Mar 25, 2020

Antibiotic dispensing guidelines

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Empire Provider News Medicaid Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Empire Provider News Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Empire Provider News Medicaid Mar 1, 2020

Keep up with Medicaid news

March 2020 Empire Provider News Medicaid Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Empire Provider News Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Empire Provider News Medicare Mar 1, 2020

Reimbursement Policy Update - Multiple and Bilateral Surgery: Professional and Facility

March 2020 Empire Provider News Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Empire Provider News Medicare Mar 1, 2020

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)

February 2020 Empire Provider News Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Empire Provider News Medicaid Feb 1, 2020

Non-covered codes for Medicaid Managed Care (MMC) providers

February 2020 Empire Provider News Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Empire Provider News Medicaid Feb 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Empire Provider News Medicare Feb 1, 2020

Medicare Advantage Outpatient Rehabilitation Program transition information

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)

February 2020 Empire Provider News Medicare Feb 1, 2020

Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)

February 2020 Empire Provider News Medicare Feb 1, 2020

General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option

February 2020 Empire Provider News Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Empire Provider News Medicare Feb 1, 2020

2020 FEP Benefit information available online

January 2020 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2020

Verifying and updating your provider information

January 2020 Empire Provider News Medicaid Jan 1, 2020
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