New York
Provider Communications

Articles Month: October 2020

Title	Publication	Category	Date
Nominate someone today for the Empire Whole Health Heroes Awards	Empire Whole Health Heroes Awards	Administrative	Oct 20, 2020
Register today for a Racial Trauma Forum hosted by Empire and Motivo on October 28, 2020	Racial Trauma Forum Invitation	Behavioral Health	Oct 14, 2020
Site of Care medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021 Material Adverse Change	October 2020 Empire Provider News	Products & Programs	Oct 1, 2020
REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020	October 2020 Empire Provider News	Products & Programs	Oct 1, 2020
Empire updates formulary lists for commercial health plan pharmacy benefit	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Designated Specialty Pharmacies in 2021 Material Adverse Change	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
National Drug Code requirement on outpatient claims Material Adverse Change	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Prior authorization updates for specialty pharmacy are available	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Updated Coverage for Breast Cancer prevention medications	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
FDA approvals and expedited pathways used - New Molecular Entities (NMEs)	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Pharmacy information available on empireblue.com	October 2020 Empire Provider News	Pharmacy	Oct 1, 2020
Keep up with important news from Empire and receive notifications by email	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Digital Provider Enrollment tool added to Availity for New York	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Blue HPN® network included in plans available for employee open enrollment Fall 2020	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Charges for Personal Protective Equipment by Participating Providers	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Electronic member ID cards available on the Availity Portal	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Empire Chat: A fast, easy way to have your questions answered	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Interactive Care Reviewer adds outpatient medical authorization requests for Empire local, State and City plans	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Request referrals for Empire Individual Network Plan through Interactive Care Reviewer	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Medical Claim Attachment Webinars: Register Today	October 2020 Empire Provider News	Administrative	Oct 1, 2020
National Accounts 2021 Pre-certification list	October 2020 Empire Provider News	Administrative	Oct 1, 2020
CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program	October 2020 Empire Provider News	Administrative	Oct 1, 2020
What Matters Most: Improving the Patient Experience	October 2020 Empire Provider News	Administrative	Oct 1, 2020
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
Reimbursement Policy Update: Emergency Department: Leveling of Evaluation and Management Services (Facility) Material Adverse Change	October 2020 Empire Provider News	Reimbursement Policies	Oct 1, 2020
Reimbursement Policy Update: Laboratory and Venipuncture (Professional) Material Adverse Change	October 2020 Empire Provider News	Reimbursement Policies	Oct 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

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