New York
Provider Communications

Articles

Title	Publication	Category	Date
Behavioral health Discharge Action Plan: improving care transitions	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral health network provider training	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Behavioral healthcare appointment access requirements	December 2021 Newsletter	Administrative	Dec 1, 2021
Benefit change for Infliximab for Federal Employee Program	December 2018 Empire Provider Newsletter	Federal Employee Plan (FEP)	Dec 1, 2018
Benefits to be available for chronic care management and advance care planning services effective February 23, 2019	January 2019 Empire Provider Newsletter	Administrative	Jan 1, 2019
Blue Access Expands to Include Large Groups	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	December 2019 Empire Provider News	Medicare	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 Empire Provider News	Medicare	Nov 1, 2019
Blue High Performance Network name changing for 2022	November 2021 Newsletter	Administrative	Nov 1, 2021
Blue High Performance Network name changing for 2022	January 2022 Newsletter	Administrative	Jan 1, 2022
Blue Precision program to be retired at the end of the year	July 2021 Newsletter	Products & Programs	Jul 1, 2021
Body Mass Index (BMI) - Facility	February 2019 Empire Provider Newsletter	Reimbursement Policies	Feb 1, 2019
Botox update for Empire BlueCross BlueShield HealthPlus members	January 2022 Newsletter	Medicaid	Jan 1, 2022
Bundled Services and Supplies (Professional)	December 2020 Empire Provider News	Reimbursement Policies	Dec 1, 2020
Bundled Services and Supplies (Professional) Material Adverse Change (MAC) notification	November 2020 Empire Provider News	Reimbursement Policies	Nov 1, 2020
Bundled Services and Supplies - Professional	December 2018 Empire Provider Newsletter	Reimbursement Policies	Dec 1, 2018
CAA: Current provider directory information is key for members and providers to engage with you seamlessly	September 2022 Newsletter	Administrative	Sep 1, 2022
CAA: Have you reviewed your online provider directory information lately?	March 2022 Newsletter	Administrative	Mar 1, 2022
CAA: Keep your provider directory information current	July 2022 Newsletter	Administrative	Jul 1, 2022
CAA: Keep your provider directory information up to date	November 2022 Newsletter	Administrative	Nov 1, 2022
CAA: Provider directories accuracy is important	June 2022 Newsletter	Administrative	Jun 1, 2022
CAA: Review your online provider directory information	October 2022 Newsletter	Administrative	Oct 1, 2022
CAA: Timely updates help keep our provider directories current	May 2022 Newsletter	Administrative	May 1, 2022
CAA: Timely updates help keep our provider directories current	December 2022 Newsletter	Administrative	Dec 1, 2022
CAA: Update your provider directory information	April 2022 Newsletter	Administrative	Apr 1, 2022
CAHPS education for providers	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
CAHPS® survey	February 2021 Empire Provider News	Medicaid	Feb 1, 2021
Cancer Care Navigator	July 2022 Newsletter	Medicare	Jul 1, 2022
Cancer Care Navigator	February 2022 Newsletter	Administrative	Feb 1, 2022
Case Management Program	December 2019 Empire Provider News	Products & Programs	Dec 1, 2019
Case management program	December 2021 Newsletter	Administrative	Dec 1, 2021
Case Management Program	December 2018 Empire Provider Newsletter	Administrative	Dec 1, 2018
Case Management Program	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Case management program	December 2022 Newsletter	Administrative	Dec 1, 2022
Catching up on routine vaccines	April 2022 Newsletter	Administrative	Apr 1, 2022
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Newsletter	Medicaid	Jul 1, 2021
Cervical length measurement by transvaginal ultrasound	October 2018 Empire Provider Newsletter	Medicaid	Oct 1, 2018
Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal	June 2019 Empire Provider Newsletter	Administrative	Jun 1, 2019
Change in coverage for continuous glucose monitors for some fully insured groups	November 2021 Newsletter	Administrative	Nov 1, 2021
Change in email submission of service requests for Federal Employee Program members Material adverse change (MAC) notification	August 2021 Newsletter	Federal Employee Plan (FEP)	Aug 1, 2021
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Change to the Federal Employee Program® Clinical Grievance and Appeal Address	March 2022 Newsletter	Federal Employee Plan (FEP)	Mar 1, 2022
Changes to Annual Verification Process	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Changes to PA requirements	September 2019 Empire Provider News	Medicare	Sep 1, 2019
Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Changes to timely filing requirements for Medicare Advantage	July 2019 Empire Provider News	Administrative	Jul 1, 2019
Charges for Personal Protective Equipment by Participating Providers	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Chat directly with a prior authorization specialist	April 2021 Newsletter	Administrative	Apr 1, 2021
Childhood Immunization Status and Lead Screening in Children for HEDIS	January 2023 Newsletter	Administrative	Dec 30, 2022
Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service	June 2018 Empire Provider Newsletter	Medicaid	May 30, 2018
Chlamydia screening	August 2022 Newsletter	Medicaid	Aug 1, 2022
Chlamydia screening for teens and young adults	December 2021 Newsletter	Administrative	Dec 1, 2021
City of Cincinnati Retirement System to offer Medicare Advantage option	December 2019 Empire Provider News	Medicare	Dec 1, 2019
City of Manchester Offers Medicare Advantage Option	February 2023 Newsletter	Medicare	Feb 1, 2023
City of New York GRS Alliance Program (Updated 12/3/21)	December 2021 Newsletter	Medicare	Dec 1, 2021
City of New York offers Medicare Advantage option in 2022	August 2021 Newsletter	Medicare	Aug 1, 2021
City of New York Offers NYC Medicare Advantage Plus Medicare Advantage Option	September 2021 Newsletter	Medicare	Sep 1, 2021
City of New York Retirees transition to NYC Medicare Advantage Plus (Updated 12/3/21)	City of New York Retirees Transition to NYC Medicare Advantage Plus	Administrative	Nov 2, 2021
City of New York Retirees Transition to NYC Medicare Advantage Plus Delayed City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.	Transition to NYC Medicare Advantage Plus Delayed	Administrative	Mar 15, 2022
City of New York Retirees will transition to NYC Medicare Advantage Plus offered through an alliance between Empire and EmblemHealth Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan. Read important information about this change in the New York City Medicare Advantage announcement.	City of New York Retirees Transition to NYC Medicare Advantage Plus	Administrative	Jan 5, 2022
Claim editing update for Excludes1 notes	September 2019 Empire Provider News	Reimbursement Policies	Sep 1, 2019
Claims editing update for ICD-10-CM Excludes 1 notes	April 2021 Newsletter	Reimbursement Policies	Apr 1, 2021
Claims editing update for ICD-10-CM Excludes1 notes	December 2021 Newsletter	Medicaid	Dec 1, 2021
Claims Status Listing & Remittance Inquiry Updates for Atypical Providers	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Claims status message enhancements: Providing clear descriptions and actionable next steps	November 2022 Newsletter	Digital Tools	Nov 1, 2022
Clarification to reimbursement policy update: Virtual Visits - Professional and Facility	February 2022 Newsletter	Reimbursement Policies	Feb 1, 2022
Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)	November 2021 Newsletter	Reimbursement Policies	Nov 1, 2021
Clarification: Empire’s enhanced claim edits for outpatient facility claims	October 2021 Newsletter	Administrative	Oct 1, 2021
Clearing up coding confusion for diabetic retinal screenings	July 2022 Newsletter	Administrative	Jul 1, 2022
Clearing up coding confusion for retinal eye exams (DRE)	August 2021 Newsletter	Administrative	Aug 1, 2021
Clinical appeals	October 2021 Newsletter	Administrative	Oct 1, 2021
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	September 2019 Empire Provider News	Pharmacy	Sep 1, 2019
Clinical Criteria and Prior Authorization updates for specialty pharmacy are available	August 2019 Empire Provider News	Pharmacy	Aug 1, 2019
Clinical Criteria coding updates for specialty pharmacy are available	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical Criteria updates	April 2022 Newsletter	Medicaid	Apr 1, 2022
Clinical Criteria updates	April 2022 Newsletter	Medicare	Apr 1, 2022
Clinical Criteria updates	September 2022 Newsletter	Medicaid	Sep 1, 2022
Clinical Criteria updates	March 2022 Newsletter	Medicare	Mar 1, 2022
Clinical Criteria updates	November 2021 Newsletter	Medicaid	Nov 1, 2021
Clinical Criteria updates	November 2021 Newsletter	Medicare	Nov 1, 2021
Clinical Criteria updates	April 2019 Empire Provider Newsletter	Medicaid	Apr 1, 2019
Clinical Criteria updates	May 2019 Empire Provider Newsletter	Medicaid	May 1, 2019
Clinical Criteria updates	September 2019 Empire Provider News	Medicaid	Sep 1, 2019
Clinical criteria updates for specialty pharmacy	February 2019 Empire Provider Newsletter	Pharmacy	Feb 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Pharmacy	Mar 1, 2019
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	June 2021 Newsletter	Medical Policy & Clinical Guidelines	Jun 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	July 2021 Newsletter	Pharmacy	Jul 1, 2021
Clinical criteria updates for specialty pharmacy	March 2019 Empire Provider Newsletter	Medicare	Mar 1, 2019
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC) Notification	March 2021 Empire Provider News	Pharmacy	Mar 1, 2021
Clinical criteria updates for specialty pharmacy	July 2019 Empire Provider News	Pharmacy	Jul 1, 2019
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	September 2021 Newsletter	Pharmacy	Sep 1, 2021
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC)	December 2021 Newsletter	Pharmacy	Dec 1, 2021
Clinical Criteria updates for specialty pharmacy Material adverse change (MAC) notification	October 2021 Newsletter	Pharmacy	Oct 1, 2021
Clinical criteria updates for specialty pharmacy Material adverse change (MAC) notification	August 2021 Newsletter	Pharmacy	Aug 1, 2021
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC)	September 2022 Newsletter	Pharmacy	Sep 1, 2022
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC)	February 2023 Newsletter	Pharmacy	Feb 1, 2023
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	March 2022 Newsletter	Pharmacy	Mar 1, 2022
Clinical Criteria updates for specialty pharmacy Material Adverse Change (MAC)	October 2022 Newsletter	Pharmacy	Oct 1, 2022
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	February 2022 Newsletter	Pharmacy	Feb 1, 2022

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