New York
Provider Communications

Articles Month: August 2018

Title	Publication	Category	Date
Additional Support Available for Members with Rare Conditions	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Archived medical policy	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Attention: Updated or New Fee Schedules for Commercial products	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Clinical Guideline Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Coding Spotlight - Obesity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
DME providers and physicians: important wheelchair prior authorization information	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Electronic Data Interchange migration to Availity	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Empire accepts prior authorization requests for prescription medications online	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire applies daily morphine equivalent dosing limit	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire engages with Alliant Health Solutions	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
Empire expands specialty pharmacy clinical site of care (level of care) drug list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire expands specialty pharmacy prior authorization list	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire launches additional changes to empireblue.com in September	September 2018 Empire Network eUpdate	Administrative	Aug 31, 2018
Empire removes drugs from specialty pharmacy clinical site of care	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire to enhance automated claim edits for professional claims	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Empire to update drug lists supporting commercial health plans	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Empire transitioning to Availity EDI Gateway	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Home- and community-based services for Health and Recovery Plan beneficiaries	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Important billing update for professional delivery claims	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Important information about billing colonoscopy and related anesthesia services	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Important information about utilization management	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Keep up with Medicare news	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
MA members receive incentives for completing screenings	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Making a change for the better - FEP system migration information	August 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	Aug 1, 2018
Medical Policy Updates	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Member Explanation of Benefits gets a makeover	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Member’s Rights and Responsibilities Statement	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
MyDiversePatients.com addresses health care disparities	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
MyDiversePatients.com: A website to support your diverse patients	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
New Eating Disorder Service Available to Empire Members	August 2018 Empire Provider Newsletter	Behavioral Health	Aug 1, 2018
New HEDIS/QARR measures for 2018	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
New precertification requirement for EGD services begins November 1, 2018	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
New pregnancy notification process using the Availity Portal Benefit Look-Up tool	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
New pregnancy notification process using the Availity Web Portal Benefit Look-up Tool	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Normal newborn diagnosis-related group claims processing update	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Now Available: Get patient payments faster with Healthcare Bill Payments at empireblue.com	September 2018 Empire Network eUpdate	Administrative	Aug 31, 2018
Online Authorizations through the Availity Portal on Interactive Care Reviewer	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Pharmacy information available on empireblue.com	August 2018 Empire Provider Newsletter	Pharmacy	Aug 1, 2018
Policy Updates	August 2018 Empire Provider Newsletter	Policy Updates	Aug 1, 2018
Prior authorization requirements for Cabazitaxel (Jevtana)	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Provider Transparency Update	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Reimbursement Policy Update: Medical Recalls	August 2018 Empire Provider Newsletter	Medicaid	Aug 1, 2018
Reimbursement Policy Updates	August 2018 Empire Provider Newsletter	Reimbursement Policies	Aug 1, 2018
Review medical policy and clinical guidelines when referring services to a facility	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Submit electronic SOAP notes today using ePASS® and receive $100 each	September 2018 Empire Network eUpdate	Administrative	Aug 31, 2018
Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1	August 2018 Empire Provider Newsletter	Medicare	Aug 1, 2018
Update to AIM Radiation Oncology Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Update to Venipuncture Services Medical Policy effective March 1, 2018	August 2018 Empire Provider Newsletter	Medical Policy & Clinical Guidelines	Aug 1, 2018
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Updates to AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines	August 2018 Empire Provider Newsletter	Products & Programs	Aug 1, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018
Webinar: Introduction to Availity EDI Gateway services for Empire provider organizations	August 2018 Empire Provider Newsletter	Administrative	Aug 1, 2018

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