New York
Provider Communications

Articles Month: February 2021

Title Publication Category Date

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Empire Provider News Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Empire Provider News Medicaid Feb 1, 2021

Colorectal Cancer Screening (COL) - ensuring quality of care

February 2021 Empire Provider News Medicaid Feb 1, 2021

Emergency Room Transfers (Facility)

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Reimbursement Policies Feb 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2021 Empire Provider News Pharmacy Feb 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Empire Provider News Medicaid Feb 1, 2021

Keep up with Medicaid news

February 2021 Empire Provider News Medicaid Feb 1, 2021

Keep up with Medicare news

February 2021 Empire Provider News Medicare Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicare Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Empire Provider News Administrative Feb 1, 2021

New specialty pharmacy medical step therapy requirements

February 2021 Empire Provider News Medicaid Feb 1, 2021

Pharmacy information available on empireblue.com

February 2021 Empire Provider News Pharmacy Feb 1, 2021

Prior authorization requirements for 55899

February 2021 Empire Provider News Medicaid Feb 1, 2021

Prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Pharmacy Feb 1, 2021

Procedure Searches in Find Care - New Sort Option

February 2021 Empire Provider News Administrative Feb 1, 2021

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

February 2021 Empire Provider News Medicaid Feb 1, 2021

Treatment Rooms with Office Evaluation and Management Services (Facility)

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Reimbursement Policies Feb 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviews

February 2021 Empire Provider News Medicaid Feb 1, 2021
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