New York
Provider Communications

Articles Month: April 2021

Title	Publication	Category	Date
HEDIS 2021 Federal Employee Program® medical record request requirements	April 2021 Newsletter	Federal Employee Plan (FEP)	Apr 1, 2021
Keep up with Medicaid news	April 2021 Newsletter	Medicaid	Apr 1, 2021
Notify us of telehealth services	April 2021 Newsletter	Medicare	Apr 1, 2021
In-office assessment program	April 2021 Newsletter	Medicare	Apr 1, 2021
Oncology dose reduction program beginning July 1, 2021	April 2021 Newsletter	Medicare	Apr 1, 2021
Medical drug benefit clinical criteria updates – November 2020	April 2021 Newsletter	Medicare	Apr 1, 2021
Medical drug benefit clinical criteria updates – December 2020	April 2021 Newsletter	Medicare	Apr 1, 2021
Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 Material adverse change (MAC) notification	April 2021 Newsletter	Products & Programs	Apr 1, 2021
Interactive bilingual website acting for our health Exclusively developed for the latino community.	April 2021 Newsletter	Products & Programs	Apr 1, 2021
The heath of millennials: Trends in behavioral health conditions	April 2021 Newsletter	Behavioral Health	Apr 1, 2021
Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Updates for specialty pharmacy are available Material adverse change (MAC) notification	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Clinical criteria updates for specialty pharmacy Material adverse change (MAC) notification	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Pharmacy information available on empireblue.com	April 2021 Newsletter	Pharmacy	Apr 1, 2021
Maximizing efficient, high quality COVID-19 screenings	COVID-19 Information - Publication RETIRED as of November 8, 2022	Administrative	Apr 1, 2021
Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services	April 2021 Newsletter	Administrative	Apr 1, 2021
Does your practice offer telehealth services? Let us know!	April 2021 Newsletter	Administrative	Apr 1, 2021
Join Empire in talking about racism and its impact on health	April 2021 Newsletter	Administrative	Apr 1, 2021
Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021	April 2021 Newsletter	Administrative	Apr 1, 2021
State of Connecticut employer group and Connecticut partnership plan	April 2021 Newsletter	Administrative	Apr 1, 2021
Updated provider agreement	April 2021 Newsletter	Administrative	Apr 1, 2021
New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool	April 2021 Newsletter	Administrative	Apr 1, 2021
Payer Spaces - Education and Reference Center has been replaced by Information Center	April 2021 Newsletter	Administrative	Apr 1, 2021
Understanding Availity Roles for Electronic Data Interchange (EDI)	April 2021 Newsletter	Administrative	Apr 1, 2021
Make the change to digital authorization/referral and hospital admission notifications using EDI	April 2021 Newsletter	Administrative	Apr 1, 2021
Submit appeals for clinically denied appeals via ICR	April 2021 Newsletter	Administrative	Apr 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients	April 2021 Newsletter	Administrative	Apr 1, 2021
Chat directly with a prior authorization specialist	April 2021 Newsletter	Administrative	Apr 1, 2021
Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
MCG Care Guidelines 25th Edition	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
Medical policy updates Material adverse change (MAC) notification	April 2021 Newsletter	Medical Policy & Clinical Guidelines	Apr 1, 2021
Claims editing update for ICD-10-CM Excludes 1 notes	April 2021 Newsletter	Reimbursement Policies	Apr 1, 2021

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New York
Provider Communications

Articles Month: April 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

Keep up with Medicaid news

Notify us of telehealth services

In-office assessment program

Oncology dose reduction program beginning July 1, 2021

Medical drug benefit clinical criteria updates – November 2020

Medical drug benefit clinical criteria updates – December 2020

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

Interactive bilingual website acting for our health

The heath of millennials: Trends in behavioral health conditions

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

Updates for specialty pharmacy are available

Clinical criteria updates for specialty pharmacy

Pharmacy information available on empireblue.com

Maximizing efficient, high quality COVID-19 screenings

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

Does your practice offer telehealth services? Let us know!

Join Empire in talking about racism and its impact on health

Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021

State of Connecticut employer group and Connecticut partnership plan

Updated provider agreement

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

Payer Spaces - Education and Reference Center has been replaced by Information Center

Understanding Availity Roles for Electronic Data Interchange (EDI)

Make the change to digital authorization/referral and hospital admission notifications using EDI

Submit appeals for clinically denied appeals via ICR

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

Chat directly with a prior authorization specialist

Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

MCG Care Guidelines 25th Edition

Medical policy updates

Claims editing update for ICD-10-CM Excludes 1 notes

New YorkProvider Communications

Articles Month: April 2021

New York
Provider Communications