New York
Provider Communications

Articles Category: State & Federal / Medicaid

Title	Publication	Category	Date
2020 affirmative statement concerning utilization management decisions	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
2021 CAHPS Survey results	January 2022 Newsletter	Medicaid	Jan 1, 2022
4 things you can do to encourage cancer screenings for your women patients	November 2021 Newsletter	Medicaid	Nov 1, 2021
Access patient-specific drug benefit information through electronic medical records	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Access to more claim denial information is now self-service	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Acquisition of Beacon Health Options	May 2020 Empire Provider News	Medicaid	May 1, 2020
AIM Specialty Health programs may require documentation	August 2019 Empire Provider News	Medicaid	Aug 1, 2019
Alcohol use disorders linked to chronic diseases	September 2022 Newsletter	Medicaid	Sep 1, 2022
Alcohol use disorders often coexist with psychiatric disorders	November 2022 Newsletter	Medicaid	Nov 1, 2022
Antibiotic dispensing guidelines	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Antipsychotic medications and diabetes	November 2022 Newsletter	Medicaid	Nov 1, 2022
Appointment access standards for PCPs, specialty care and behavioral health practitioners	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Aspire Health for members in need of palliative care	June 2021 Newsletter	Medicaid	Jun 1, 2021
Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Asthma controller medications	October 2020 Empire Provider News	Medicaid	Oct 1, 2020
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	July 2021 Newsletter	Medicaid	Jul 1, 2021
Attention: Updated laboratory fee schedule	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Behavioral health Discharge Action Plan: improving care transitions	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health network provider training	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Botox update for Empire BlueCross BlueShield HealthPlus members	January 2022 Newsletter	Medicaid	Jan 1, 2022
CAHPS education for providers	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
CAHPS® survey	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Medicaid	Jul 1, 2021
Cervical length measurement by transvaginal ultrasound	October 2018 Empire Provider Newsletter	Medicaid	Oct 1, 2018
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Chlamydia screening	August 2022 Newsletter	Medicaid	Aug 1, 2022
Claims editing update for ICD-10-CM Excludes1 notes	December 2021 Newsletter	Medicaid	Dec 1, 2021
Clinical Criteria updates	April 2022 Newsletter	Medicaid	Apr 1, 2022
Clinical Criteria updates	September 2022 Newsletter	Medicaid	Sep 1, 2022
Clinical Criteria updates	November 2021 Newsletter	Medicaid	Nov 1, 2021
Clinical Criteria updates	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Clinical Criteria updates	May 2019 Empire Provider Newsletter	Medicaid	May 1, 2019
Clinical Criteria updates	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Coding Spotlight - Obesity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Coding spotlight - provider’s guide to code social determinants of health	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Coding spotlight - provider’s guide to coding respiratory diseases	January 2020 Empire Provider News	Medicaid	Jan 1, 2020
Coding Spotlight: Cancer A provider’s guide to properly code cancers	March 2019 Empire Provider Newsletter	Medicaid	Mar 1, 2019
Coding spotlight: HEDIS MY 2021	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Coding spotlight: HIV and AIDS	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Coding Spotlight: Hypertension, A providers’ guide for coding	July 2019 Empire Provider News	Medicaid	Jul 1, 2019
Coding spotlight: mental disorders in childhood	July 2021 Newsletter	Medicaid	Jul 1, 2021
Coding spotlight: Overview of the 2021 evaluation and management changes	March 2021 Empire Provider News	Medicaid	Mar 1, 2021
Coding Spotlight: Pregnancy, A provider’s guide to diagnose and code for pregnancy	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Coding spotlight: Provider guide to coding for cardiovascular conditions	July 2020 Empire Provider News	Medicaid	Jul 1, 2020
Coding spotlight: providers guide to coding for behavioral health disorders	October 2020 Empire Provider News	Medicaid	Oct 1, 2020
Coding spotlight: substance use disorders and smoking	December 2018 Empire Provider Newsletter	Medicaid	Dec 1, 2018
Coding spotlight: tips and best practices for compliance	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Coding tip for psychological and neuropsychological testing	March 2020 Empire Provider News	Medicaid	Mar 1, 2020
Colorectal Cancer Screening (COL) - ensuring quality of care	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Coming soon: electronic attachments	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Complex Case Management program	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Complex Case Management program	June 2021 Newsletter	Medicaid	Jun 1, 2021
Complex Case Management program	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Complex Case Management program	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019
Complex Case Management program	October 2022 Newsletter	Medicaid	Oct 1, 2022
Continuing medical education/continuing education unit opportunities	May 2021 Newsletter	Medicaid	May 1, 2021
Controlling High Blood Pressure (CBP)	August 2020 Empire Provider News	Medicaid	Aug 1, 2020
Correction: Cervical length measurement by transvaginal ultrasound	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
CPT Category II update	May 2022 Newsletter	Medicaid	May 1, 2022
Diabetes Coding	February 2019 Empire Provider Newsletter	Medicaid	Feb 1, 2019
Diabetes testing and screening HEDIS measures	October 2021 Newsletter	Medicaid	Oct 1, 2021
Digital transactions cut administrative tasks in half	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Disease Management can help you care for patients with chronic health care needs	April 2020 Empire Provider News	Medicaid	Apr 1, 2020
Disease Management/Population Health program	April 2022 Newsletter	Medicaid	Apr 1, 2022
Disease Management/Population Health program	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
EDI Gateway migration	October 2018 Empire Provider Newsletter	Medicaid	Oct 1, 2018
Electrical stimulation device to require prior authorization	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Electronic claim payment reconsideration	July 2019 Empire Provider News	Medicaid	Jul 1, 2019
Electronic data interchange gateway update	December 2018 Empire Provider Newsletter	Medicaid	Dec 1, 2018
Electronic Data Interchange migration to Availity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Electronic data interchange process	November 2021 Newsletter	Medicaid	Nov 1, 2021
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicaid	Nov 1, 2019
Empire Fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy	October 2018 Empire Provider Newsletter	Medicaid	Oct 1, 2018
Empire HealthPlus adopts MCG Care Guidelines for clinical reviews of mental health services	December 2018 Empire Provider Newsletter	Medicaid	Dec 1, 2018
Empire to conduct post-payment reviews of distinct procedural services modifiers	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Enhancing claims attachment processes through digital applications	September 2022 Newsletter	Medicaid	Sep 1, 2022
Ensuring quality of care when prescribing antipsychotic medications to children and adolescents	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Evaluation and management services - over-coded services	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
FAQ: Update to AIM phone number	October 2021 Newsletter	Medicaid	Oct 1, 2021
FDA approvals and expedited pathways used — new molecular entities (NMEs)	January 2021 Empire Provider News	Medicaid	Jan 1, 2021
Flu vaccination reimbursement	October 2022 Newsletter	Medicaid	Oct 1, 2022
Flu vaccination reimbursement	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Follow-Up After Hospitalization for Mental Illness	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Get faster payments with EFT	February 2022 Newsletter	Medicaid	Feb 1, 2022
Get your payments faster when you sign up for electronic funds transfer	October 2021 Newsletter	Medicaid	Oct 1, 2021
Good news: Non-payment remittance advice enhancements are here	December 2021 Newsletter	Medicaid	Dec 1, 2021
Guidance for coding evaluation and management services for new and established patients	November 2022 Newsletter	Medicaid	Nov 1, 2022
Health Homes - a valuable provider of community-based care coordination	July 2019 Empire Provider News	Medicaid	Jul 1, 2019
HEDIS 2022: Summary of changes from NCQA	August 2022 Newsletter	Medicaid	Aug 1, 2022
HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Drug Dependency	December 2021 Newsletter	Medicaid	Dec 1, 2021
Help prevent preeclampsia with prenatal aspirin	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Home- and community-based services for Health and Recovery Plan beneficiaries	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Important information about utilization management	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Important information about utilization management	June 2021 Newsletter	Medicaid	Jun 1, 2021
Important information about utilization management	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Important information about utilization management	November 2022 Newsletter	Medicaid	Nov 1, 2022
Important information about utilization management	June 2019 Empire Provider Newsletter	Medicaid	Jun 1, 2019

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