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Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
Federal Employee Program® AIM Radiology prior authorization review Material adverse change (MAC) notification	July 2021 Newsletter	Federal Employee Plan (FEP)	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	July 2021 Newsletter	Medicaid	Jul 1, 2021
Let’s Vaccinate	July 2021 Newsletter	Medicaid	Jul 1, 2021
New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)	July 2021 Newsletter	Medicaid	Jul 1, 2021
Prior authorization requirement changes effective September 1, 2021	July 2021 Newsletter	Medicaid	Jul 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Medicaid	Jul 1, 2021
Medical drug benefit Clinical Criteria updates	July 2021 Newsletter	Medicaid	Jul 1, 2021
Retraction: AIM Rehabilitative program — initial evaluations and site of service reviews	July 2021 Newsletter	Medicaid	Jul 1, 2021
Updates to AIM Specialty Health Musculoskeletal program clinical appropriateness guidelines	July 2021 Newsletter	Medicaid	Jul 1, 2021
Coding spotlight: mental disorders in childhood	July 2021 Newsletter	Medicaid	Jul 1, 2021
What Matters Most: Improving the Patient Experience	July 2021 Newsletter	Medicaid	Jul 1, 2021
Resources to support your diverse patient panel	July 2021 Newsletter	Medicaid	Jul 1, 2021
Keep up with Medicaid news	July 2021 Newsletter	Medicaid	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	July 2021 Newsletter	Medicare	Jul 1, 2021
Let’s Vaccinate	July 2021 Newsletter	Medicare	Jul 1, 2021
New reimbursement policy: Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (Effective 10/01/21)	July 2021 Newsletter	Medicare	Jul 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428	July 2021 Newsletter	Medicare	Jul 1, 2021
Medical drug benefit Clinical Criteria updates	July 2021 Newsletter	Medicare	Jul 1, 2021
DEXA bone scan criteria for the Federal Employee Program	June 2021 Newsletter	Federal Employee Plan (FEP)	Jun 1, 2021
Provider education program survey: Your Voice Counts	June 2021 Newsletter	Medicaid	Jun 1, 2021
MCG Care Guidelines 25th Edition	June 2021 Newsletter	Medicaid	Jun 1, 2021
Keeping up with routine vaccination during COVID-19	June 2021 Newsletter	Medicaid	Jun 1, 2021
Aspire Health for members in need of palliative care	June 2021 Newsletter	Medicaid	Jun 1, 2021
Complex Case Management program	June 2021 Newsletter	Medicaid	Jun 1, 2021
Important information about utilization management	June 2021 Newsletter	Medicaid	Jun 1, 2021
Members’ Rights and Responsibilities Statement	June 2021 Newsletter	Medicaid	Jun 1, 2021
Keep up with Medicaid news	June 2021 Newsletter	Medicaid	Jun 1, 2021
MCG Care Guidelines 25th Edition	June 2021 Newsletter	Medicare	Jun 1, 2021
Medical Policies and Clinical Utilization Management Guidelines update	June 2021 Newsletter	Medicare	Jun 1, 2021
Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ	June 2021 Newsletter	Medicare	Jun 1, 2021
Keep up with Medicare news	June 2021 Newsletter	Medicare	Jun 1, 2021
Metabolic monitoring and diabetes screening measures for those on antipsychotics medications	May 2021 Newsletter	Medicaid	May 1, 2021
Maximizing efficient, high quality COVID-19 screenings	May 2021 Newsletter	Medicaid	May 1, 2021
Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines	May 2021 Newsletter	Medicaid	May 1, 2021
Continuing medical education/continuing education unit opportunities	May 2021 Newsletter	Medicaid	May 1, 2021
Keep up with Medicaid news	May 2021 Newsletter	Medicaid	May 1, 2021
Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines	May 2021 Newsletter	Medicare	May 1, 2021
Maximizing efficient, high quality COVID-19 screenings	May 2021 Newsletter	Medicare	May 1, 2021
Keep up with Medicare news	May 2021 Newsletter	Medicare	May 1, 2021
HEDIS 2021 Federal Employee Program® medical record request requirements	April 2021 Newsletter	Federal Employee Plan (FEP)	Apr 1, 2021
Keep up with Medicaid news	April 2021 Newsletter	Medicaid	Apr 1, 2021
Notify us of telehealth services	April 2021 Newsletter	Medicare	Apr 1, 2021
In-office assessment program	April 2021 Newsletter	Medicare	Apr 1, 2021
Oncology dose reduction program beginning July 1, 2021	April 2021 Newsletter	Medicare	Apr 1, 2021
Medical drug benefit clinical criteria updates – November 2020	April 2021 Newsletter	Medicare	Apr 1, 2021
Medical drug benefit clinical criteria updates – December 2020	April 2021 Newsletter	Medicare	Apr 1, 2021
Access to more claim denial information is now self-service	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
MCG Care Guidelines 24th edition customization	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Coding spotlight: Overview of the 2021 evaluation and management changes	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Ocrevus/Vyepti Medical Step Therapy Notice	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
New provider directory indicator for telehealth services	March 2021 Empire Provider News	Medicare	Mar 1, 2021
Medical Policies and Clinical Utilization Management Guidelines update	March 2021 Empire Provider News	Medicare	Mar 1, 2021
Access to more claim denial information is now self-service	March 2021 Empire Provider News	Medicare	Mar 1, 2021
Keep up with Medicare news	March 2021 Empire Provider News	Medicare	Mar 1, 2021
Prior authorization requirements for 55899	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviews	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
New specialty pharmacy medical step therapy requirements	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Colorectal Cancer Screening (COL) - ensuring quality of care	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
CAHPS® survey	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Medical drug benefit Clinical Criteria updates	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Keep up with Medicaid news	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Medical drug benefit Clinical Criteria updates	February 2021 Empire Provider News	Medicare	Feb 1, 2021
Keep up with Medicare news	February 2021 Empire Provider News	Medicare	Feb 1, 2021
2021 FEP® Benefit information available online	January 2021 Empire Provider News	Federal Employee Plan (FEP)	Jan 1, 2021
Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
FDA approvals and expedited pathways used — new molecular entities (NMEs)	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Medical drug benefit Clinical Criteria updates	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Coding spotlight: HEDIS MY 2021	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Disease Management/Population Health program	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Keep up with Medicaid news	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging	January 2021 Empire Provider News	Medicare	Jan 1, 2021
Medical drug benefit Clinical Criteria updates	January 2021 Empire Provider News	Medicare	Jan 1, 2021
2020 Medicare risk adjustment provider trainings	January 2021 Empire Provider News	Medicare	Jan 1, 2021
Keep up with Medicare news	January 2021 Empire Provider News	Medicare	Jan 1, 2021
Digital transactions cut administrative tasks in half	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Sign up to receive email from Empire BlueCross BlueShield HealthPlus	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
CAHPS education for providers	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Notifications on the Availity Portal	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Resources to support your pregnant and postpartum patients and their families	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Flu vaccination reimbursement	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Update to reimbursement policy usage	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Keep up with Medicaid news	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Digital transactions cut administrative tasks in half	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ	December 2020 Empire Provider News	Medicare	Dec 1, 2020
2021 Medicare Advantage individual benefits and formularies	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Keep up with Medicare news	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Attention: Updated laboratory fee schedule	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Medical drug benefit Clinical Criteria updates	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Coding spotlight: tips and best practices for compliance	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Inhaled nitric oxide reviews for diagnosis-related group admissions	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Provider transparency update	November 2020 Empire Provider News	Medicaid	Nov 1, 2020

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