New York
Provider Communications

Articles Month: November 2020

Title	Publication	Category	Date
AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Attention: Updated laboratory fee schedule	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Availity Attachment Tools for Empire and Affiliate Payers – Live Webinars	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Bundled Services and Supplies (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
Clinical Guideline Updates Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020
Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Coding spotlight: tips and best practices for compliance	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Documentation Standards for Episodes of Care (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
FDA approvals and expedited pathways used — new molecular entities	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Get the full picture of your patient’s health through their smartphone	November 2020 Empire Provider News	Administrative	Nov 1, 2020
IngenioRx Introduces New Pharmacy Network in 2021	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
Inhaled nitric oxide reviews for diagnosis-related group admissions	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Keep up with Medicaid news	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Keep up with Medicare news	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Medical drug benefit Clinical Criteria updates	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Medical drug benefit Clinical Criteria updates	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Modifier Rules (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
New specialty pharmacy medical step therapy requirements (Avastin)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
New specialty pharmacy medical step therapy requirements (Herceptin)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Preferred continuous glucose monitors	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Prior authorization updates for specialty pharmacy are available Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Pharmacy	Nov 1, 2020
Provider Chat — A fast, easy way to get your questions answered	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Provider transparency update	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Reminder: Post-service reviews using AIM	November 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Nov 1, 2020
Reminder: Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Products & Programs	Nov 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines	November 2020 Empire Provider News	Medicare	Nov 1, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations	November 2020 Empire Provider News	Medicaid	Nov 1, 2020
US Antibiotic Awareness Week	November 2020 Empire Provider News	Administrative	Nov 1, 2020

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New York
Provider Communications

Articles Month: November 2020

AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

Attention: Updated laboratory fee schedule

Availity Attachment Tools for Empire and Affiliate Payers – Live Webinars

Bundled Services and Supplies (Professional)

Clinical Criteria updates for specialty pharmacy are available

Clinical Guideline Updates

Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information

Coding spotlight: tips and best practices for compliance

Digital transactions cut administrative tasks in half

Digital transactions cut administrative tasks in half

Documentation Standards for Episodes of Care (Professional)

FDA approvals and expedited pathways used — new molecular entities

Get the full picture of your patient’s health through their smartphone

IngenioRx Introduces New Pharmacy Network in 2021

Inhaled nitric oxide reviews for diagnosis-related group admissions

Keep up with Medicaid news

Keep up with Medicare news

Medical drug benefit Clinical Criteria updates

Medical drug benefit Clinical Criteria updates

Modifier Rules (Professional)

New specialty pharmacy medical step therapy requirements (Avastin)

New specialty pharmacy medical step therapy requirements (Herceptin)

Preferred continuous glucose monitors

Prior authorization updates for specialty pharmacy are available

Provider Chat — A fast, easy way to get your questions answered

Provider transparency update

Reimbursement Policy: Nurse Practitioner and Physician Assistant Services (Professional)

Reminder: Post-service reviews using AIM

Reminder: Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

US Antibiotic Awareness Week

New YorkProvider Communications

Articles Month: November 2020

New York
Provider Communications