New York
Provider Communications

Articles Month: November 2019

Title Publication Category Date

Reminder about AIM’s new Rehabilitative Program effective November 1, 2019

November 2019 Empire Provider News Products & Programs Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Prior authorization updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Clinical Criteria updates for specialty pharmacy are available

November 2019 Empire Provider News Pharmacy Nov 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Additional improvements coming to empireblue.com

November 2019 Empire Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Empire Provider News Administrative Nov 1, 2019

Medical Policy & Clinical Guideline updates

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Empire Provider News Medical Policy & Clinical Guidelines Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Empire Provider News Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Empire Provider News Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Empire Provider News Medicaid Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Empire Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Empire Provider News Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Empire Provider News Medicare Nov 1, 2019
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