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
Electronic submission is preferred method for requesting pharmacy prior authorization	November 2019 Empire Provider News	Medicare	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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