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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