New York
Provider Communications

Articles Month: June 2020

Title	Publication	Category	Date
Information from Empire for Care Providers about COVID-19 (Updated June 29, 2020) We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.	COVID-19 Information	Administrative	Jun 29, 2020
Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond Empire hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience. Access the webinar recording to learn more about leveraging telehealth for behavioral health services.	COVID-19 Information	Administrative	Jun 25, 2020
Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond	N/A	Behavioral Health	Jun 1, 2020
Prior authorization updates for specialty pharmacy effective September 1, 2020	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
Clinical Criteria updates for specialty pharmacy are available	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
Pharmacy information available on empireblue.com	June 2020 Empire Provider News	Pharmacy	Jun 1, 2020
A special thank you to Care Providers Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.	COVID-19 Information	Administrative	Jun 1, 2020
Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available	June 2020 Empire Provider News	Behavioral Health	Jun 1, 2020
Follow-Up after Hospitalization for Mental Illness	June 2020 Empire Provider News	Behavioral Health	Jun 1, 2020
Be sure to notify Empire of changes to your demographic data	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire to change ID numbers for City of New York members	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire Covers HIV PrEP Medications at 100% for prevention	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Availity Portal Notification Center	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Medical Policy Updates	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	June 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Jun 1, 2020
New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional	June 2020 Empire Provider News	Reimbursement Policies	Jun 1, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
2020 affirmative statement concerning utilization management decisions	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Modifier use reminders	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Coding spotlight - provider’s guide to code social determinants of health	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Follow-Up After Hospitalization for Mental Illness	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Complex Case Management program	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Members’ Rights and Responsibilities Statement	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Important information about utilization management	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Keep up with Medicaid news	June 2020 Empire Provider News	Medicaid	Jun 1, 2020
Introducing Interactive Care Reviewer - an online prior authorization tool	June 2020 Empire Provider News	Medicare	Jun 1, 2020
Empire working with Optum to collect medical records for risk adjustment	June 2020 Empire Provider News	Medicare	Jun 1, 2020
Diabetes HbA1c < 8 HEDIS guidance	June 2020 Empire Provider News	Medicare	Jun 1, 2020
2020 Medicare risk adjustment provider trainings	June 2020 Empire Provider News	Medicare	Jun 1, 2020
Keep up with Medicare news	June 2020 Empire Provider News	Medicare	Jun 1, 2020

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New York
Provider Communications

Articles Month: June 2020

Information from Empire for Care Providers about COVID-19 (Updated June 29, 2020)

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Webinar: How to Leverage Telehealth to Care for Behavioral Health Patients During COVID-19 and Beyond

Prior authorization updates for specialty pharmacy effective September 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Pharmacy information available on empireblue.com

A special thank you to Care Providers

Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available

Follow-Up after Hospitalization for Mental Illness

Be sure to notify Empire of changes to your demographic data

Empire to change ID numbers for City of New York members

Empire Covers HIV PrEP Medications at 100% for prevention

Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues

Availity Portal Notification Center

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care

Medical Policy Updates

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

2020 affirmative statement concerning utilization management decisions

Modifier use reminders

Coding spotlight - provider’s guide to code social determinants of health

Follow-Up After Hospitalization for Mental Illness

Complex Case Management program

Members’ Rights and Responsibilities Statement

Important information about utilization management

Keep up with Medicaid news

Introducing Interactive Care Reviewer - an online prior authorization tool

Empire working with Optum to collect medical records for risk adjustment

Diabetes HbA1c < 8 HEDIS guidance

2020 Medicare risk adjustment provider trainings

Keep up with Medicare news

New YorkProvider Communications

Articles Month: June 2020

New York
Provider Communications