New York
Provider Communications

Articles Month: May 2020

Title Publication Category Date

Empire Waives Cost Share for COVID-19 Treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

Mental Health Services for Fully Insured New York Members including Essential Workers

Effective May 2, 2020, Empire is waiving cost sharing for in-network outpatient mental health services for all New York fully-insured members, including essential workers.
COVID-19 Information Administrative May 15, 2020

Prior authorization updates for specialty pharmacy are available

May 2020 Empire Provider News Pharmacy May 1, 2020

COVID-19 Information repository for Empire Care Providers

May 2020 Empire Provider News Administrative May 1, 2020

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Empire Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

May 2020 Empire Provider News Administrative May 1, 2020

Medical Policy and Clinical Guideline updates

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Clinical Criteria updates for specialty pharmacy are available

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Empire Provider News Medical Policy & Clinical Guidelines May 1, 2020

Reminder about System Updates

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Outpatient Surgical Grouper

May 2020 Empire Provider News Reimbursement Policies May 1, 2020

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

May 2020 Empire Provider News Federal Employee Plan (FEP) May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicaid May 1, 2020

Acquisition of Beacon Health Options

May 2020 Empire Provider News Medicaid May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Empire Provider News Medicare May 1, 2020

Multi-dose packaging

May 2020 Empire Provider News Medicare May 1, 2020

Keep up with Medicare news

May 2020 Empire Provider News Medicare May 1, 2020
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