New York
Provider Communications

Articles Month: March 2023

Title	Publication	Category	Date
Federal Employee Program change for medical dental reimbursement Material Adverse Change (MAC)	FEP medical dental change	Federal Employee Plan (FEP)	Mar 9, 2023
Time to prepare for HEDIS medical record review	March 2023 Empire Provider News	Administrative	Mar 1, 2023
March is National Colorectal Cancer Awareness Month	March 2023 Empire Provider News	Administrative	Mar 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update Material Adverse Change (MAC)	March 2023 Empire Provider News	Administrative	Mar 1, 2023
Notice of assignment of your Empire Provider Agreement to Carelon (formerly Beacon)	March 2023 Empire Provider News	Administrative	Mar 1, 2023
Advancing Mental Health Equity for Youth & Young Adults	March 2023 Empire Provider News	Administrative	Mar 1, 2023
Controlling High Blood Pressure and Submitting Compliant Readings	March 2023 Empire Provider News	Administrative	Mar 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023	March 2023 Empire Provider News	Products & Programs	Mar 1, 2023
Policy Update: Modifiers 25 and 57 (Policy G-06003, effective 04/01/2023) Material Adverse Change (MAC)	March 2023 Empire Provider News	Medicaid	Mar 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - Professional	March 2023 Empire Provider News	Reimbursement Policies	Mar 1, 2023
Specialty pharmacy updates for March 2023 Material adverse change (MAC)	March 2023 Empire Provider News	Pharmacy	Mar 1, 2023
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC)	March 2023 Empire Provider News	Pharmacy	Mar 1, 2023
Pharmacy information available on our provider website	March 2023 Empire Provider News	Pharmacy	Mar 1, 2023
Keep up with Medicaid news - March 2023 View these Medicaid articles: Clinical Criteria updates Prior authorization updates for medications billed under the medical benefit (Carvykti) Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines	March 2023 Empire Provider News	Medicaid	Mar 1, 2023
Informational Update: Modifier Usage (Policy G-06006)	March 2023 Empire Provider News	Medicare	Mar 1, 2023
Shared savings and transition care management after inpatient discharges	March 2023 Empire Provider News	Medicare	Mar 1, 2023
Controlling High Blood Pressure and Submitting Compliant Readings	March 2023 Empire Provider News	Medicare	Mar 1, 2023
Keep up with Medicare news - March 2023 View these Medicare articles: Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update Clinical Criteria updates New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)	March 2023 Empire Provider News	Medicare	Mar 1, 2023

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