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Provider Communications

Articles Category: State & Federal

Title Publication Category Date

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

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
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