New York
Provider Communications

Articles Category: Policy Updates / Medical Policy & Clinical Guidelines

Title	Publication	Category	Date
Medical Policy Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Clinical Guideline Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Review medical policy and clinical guidelines when referring services to a facility	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Update to Venipuncture Services Medical Policy effective March 1, 2018	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Archived medical policy	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
New and adopted clinical guidelines effective May 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Updates to AIM Specialty Health sleep disorder management clinical appropriateness *Material Adverse Change (MAC)*	June 2022 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2022
Un-adopted clinical guidelines effective February 1, 2019	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2019
Clinical Guideline Updates	December 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2018
Medical Policy Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Clinical Guideline Updates	June 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 30, 2018
Medical Policy and Clinical Guideline updates	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	February 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Feb 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Medical policy updates and clinical guideline updates Material adverse change (MAC) notification	July 2021 Newsletter	Medical Policy & Clinical Guidelines	Jul 1, 2021
Un-adopted clinical guidelines effective January 1, 2019	March 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Mar 1, 2019
Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline	November 2022 Newsletter	Medical Policy & Clinical Guidelines	Nov 1, 2022
Update: Notice of changes to the AIM Small Joint Surgery Guideline	March 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Mar 1, 2021
Medical Policy Updates	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
Medical Policy and Clinical Guideline updates	July 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2020
Clinical Criteria updates for specialty pharmacy are available	July 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2020
Un-adopted clinical guidelines effective June 1, 2019	July 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	July 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Jul 1, 2019
Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Specialty Health Cardiology clinical appropriateness guidelines Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Specialty Health Radiation Oncology clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Updates to AIM Advanced Imaging clinical appropriateness guideline Material Adverse Change (MAC)	December 2021 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2021
Medical policy and clinical guideline updates Material adverse change (MAC) notification	October 2021 Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2021
Transition to AIM Specialty Health Imaging of the Heart clinical appropriateness guideline for Computed Tomography to detect coronary artery calcification	August 2021 Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2021
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List	February 2023 Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2023
Medical Policy Updates	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
Medical policy and clinical guideline updates Material adverse change (MAC) notification	August 2021 Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2021
Clinical Guideline Updates	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
Medical Policy & Clinical Guideline updates	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Update on clinical guidelines communicated in October 2018 provider newsletter	January 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Medical Policy and Clinical Guideline updates Material Adverse Change (MAC)	November 2022 Newsletter	Medical Policy & Clinical Guidelines	Nov 1, 2022
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	November 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2019
Medical Policy and Clinical Guideline updates Material Adverse Change (MAC)	February 2023 Newsletter	Medical Policy & Clinical Guidelines	Feb 1, 2023
AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates *Material Adverse Change (MAC)*	March 2022 Newsletter	Medical Policy & Clinical Guidelines	Mar 1, 2022
Medical Policy and Clinical Guideline updates	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Clinical Criteria updates for specialty pharmacy are available	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines	May 2020 Empire Provider News	Medical Policy & Clinical Guidelines	May 1, 2020
Medical Policy and Clinical Guideline Updates	May 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 1, 2019
Clinical Guideline Update - June 2020	March 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Mar 1, 2020
Medical Policy Updates	December 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2018
Updates to AIM Cardiology Clinical Appropriateness Guidelines Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Radiation Oncology Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Monkeypox and smallpox vaccines: Product code on claims	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
MCG Care Guidelines 24th edition customization Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Jan 1, 2021
Medical Policy updates Material Adverse Change (MAC) Notification	January 2021 Empire Provider News	Medical Policy & Clinical Guidelines	Jan 1, 2021
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Medical Policy & Clinical Guideline updates Material Adverse Changes	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	October 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Oct 1, 2020
Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines* Material adverse change Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Medical Policy and Clinical Guidelines updates Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Clinical guideline updates Material adverse change (MAC) notification	May 2021 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2021
Medical Policy Updates	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines	May 2021 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2021
Clinical Guideline Updates	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Review medical policy and clinical guidelines when referring services to a facility	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines	October 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Oct 1, 2018
Medical Policy and Clinical Guideline Updates	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Coding Updates	May 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	May 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines	April 2019 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2019
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines Material Adverse Change (MAC)	January 2023 Newsletter	Medical Policy & Clinical Guidelines	Dec 30, 2022
Medical policy and clinical guideline updates Material Adverse Change (MAC)	January 2022 Newsletter	Medical Policy & Clinical Guidelines	Jan 1, 2022
Policy updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
Coding Updates	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update Material Adverse Change (MAC)	December 2022 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2022
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019	September 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Sep 1, 2019
Policy updates	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update Material Adverse Change (MAC)	December 2022 Newsletter	Medical Policy & Clinical Guidelines	Dec 1, 2022
Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Medical policy and clinical guideline updates *Material Adverse Change (MAC)*	May 2022 Newsletter	Medical Policy & Clinical Guidelines	May 1, 2022
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline	August 2019 Empire Provider News	Medical Policy & Clinical Guidelines	Aug 1, 2019
Clinical Guideline Updates Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020
Reminder: Post-service reviews using AIM	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020

Page 1 of 2

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc. licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.