New York
Provider Communications

Articles Category: State & Federal

Title	Publication	Category	Date
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
New specialty pharmacy medical step therapy requirements (Herceptin)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
New specialty pharmacy medical step therapy requirements (Avastin)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Keep up with Medicaid news	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Provider Chat — A fast, easy way to get your questions answered	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Medical drug benefit Clinical Criteria updates	November 2020 Empire Provider News	Medicare	Nov 1, 2020
AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020	November 2020 Empire Provider News	Medicare	Nov 1, 2020
FDA approvals and expedited pathways used — new molecular entities	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Preferred continuous glucose monitors	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Keep up with Medicare news	November 2020 Empire Provider News	Medicare	Nov 1, 2020
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

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