New York
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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