New York
Provider Communications

Articles

Title Publication Category Date

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Material Adverse Change (MAC)

June 2022 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

Material Adverse Change (MAC)
June 2022 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness

Material Adverse Change (MAC)

June 2022 Newsletter Medical Policy & Clinical Guidelines Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility)

Material Adverse Change (MAC)

June 2022 Newsletter Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Newsletter Federal Employee Plan (FEP) Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Newsletter Medicaid Jun 1, 2022

InterQual migration

June 2022 Newsletter Medicaid Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

June 2022 Newsletter Medicaid Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Newsletter Medicaid Jun 1, 2022

Keep up with Medicaid news- June 2022

View these Medicaid articles:

  • Prior authorization update for select durable medical equipment (DME) items
  • Prior authorization updates for medications billed under the medical benefit
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • Medical drug benefit Clinical Criteria updates
June 2022 Newsletter Medicaid Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Newsletter Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Newsletter Medicare Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

June 2022 Newsletter Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Newsletter Medicare Jun 1, 2022

Keep up with Medicare news - June 2022

View these Medicare articles:

  • New specialty pharmacy medical step therapy requirements
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
June 2022 Newsletter Medicare Jun 1, 2022

Empire announces changes to post-payment audits conducted on our behalf

May 2022 Newsletter Administrative May 1, 2022

Action required: Conversion to a new reimbursement system for outpatient facility services

May 2022 Newsletter Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Newsletter Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Newsletter Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Newsletter Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Newsletter Administrative May 1, 2022

May is national high blood pressure education month: We’ve got this!

May 2022 Newsletter Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Newsletter Administrative May 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

May 2022 Newsletter Pharmacy May 1, 2022

Specialty pharmacy updates - May 2022

Material Adverse Change (MAC)
May 2022 Newsletter Pharmacy May 1, 2022

Medical policy and clinical guideline updates

Material Adverse Change (MAC)

May 2022 Newsletter Medical Policy & Clinical Guidelines May 1, 2022

Join us for an FEP Quality Learning program live webinar

May 2022 Newsletter Federal Employee Plan (FEP) May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Newsletter Federal Employee Plan (FEP) May 1, 2022

Federal Employee Program® AIM radiology prior authorization review reminder

May 2022 Newsletter Federal Employee Plan (FEP) May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Newsletter Medicaid May 1, 2022

New Strategic Provider System implementation May 2022

May 2022 Newsletter Medicaid May 1, 2022

CPT Category II update

May 2022 Newsletter Medicaid May 1, 2022

Keep up with Medicaid news- May 2022

View these Medicaid articles:

  • Prior authorization requirement changes for HCPCS code K1022
  • New specialty pharmacy medical step therapy requirements
May 2022 Newsletter Medicaid May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Newsletter Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Newsletter Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Newsletter Medicare May 1, 2022

Keep up with Medicare news - May 2022

View these Medicare articles:

  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements
May 2022 Newsletter Medicare May 1, 2022

Information from Empire for Care Providers about COVID-19 - RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information - Publication RETIRED as of November 8, 2022 Administrative Apr 20, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - New York Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Newsletter Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Newsletter Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Newsletter Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Newsletter Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Newsletter Digital Tools Apr 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Newsletter Behavioral Health Apr 1, 2022

Specialty pharmacy updates - April 2022

Material Adverse Change (MAC)

April 2022 Newsletter Pharmacy Apr 1, 2022

Reminder on Botox® for Empire members

April 2022 Newsletter Pharmacy Apr 1, 2022

Pharmacy information available on empireblue.com

April 2022 Newsletter Pharmacy Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Newsletter Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Newsletter Medicaid Apr 1, 2022

Syphilis, including congenital cases, on the rise in New York

April 2022 Newsletter Medicaid Apr 1, 2022

Reimbursement Policy Update: Inpatient Readmissions

April 2022 Newsletter Medicaid Apr 1, 2022

Disease Management/Population Health program

April 2022 Newsletter Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Newsletter Medicaid Apr 1, 2022

Keep up with Medicaid news – April 2022

View these Medicaid articles:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Prior authorization updates for medications billed under the medical benefit
  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update
April 2022 Newsletter Medicaid Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Newsletter Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Newsletter Medicare Apr 1, 2022

Reimbursement Policy Update: Inpatient Readmissions

April 2022 Newsletter Medicare Apr 1, 2022

Clinical Criteria updates

April 2022 Newsletter Medicare Apr 1, 2022

Model of Care required training

April 2022 Newsletter Medicare Apr 1, 2022

The impact of listening

April 2022 Newsletter Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

View these Medicare articles:

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
April 2022 Newsletter Medicare Apr 1, 2022

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

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for the Exploring Implicit Bias in Healthcare for Historically Marginalized Communities forum hosted by Empire and Motivo* for providers on March 16, 2022

Exploring Implicit Bias in Healthcare Administrative Mar 2, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Newsletter Administrative Mar 1, 2022

New! Vaccination resource page for providers

March 2022 Newsletter Administrative Mar 1, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Newsletter Administrative Mar 1, 2022

Your influence matters: recommending cancer screenings to your patients

March 2022 Newsletter Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Newsletter Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Newsletter Digital Tools Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Newsletter Digital Tools Mar 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

Specialty pharmacy updates – March 2022

Material Adverse Change (MAC)
March 2022 Newsletter Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates

Material Adverse Change (MAC)
March 2022 Newsletter Medical Policy & Clinical Guidelines Mar 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal Address

March 2022 Newsletter Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Newsletter Federal Employee Plan (FEP) Mar 1, 2022

Required: Cultural competence training

March 2022 Newsletter Medicaid Mar 1, 2022

It is CAHPS survey time!

March 2022 Newsletter Medicaid Mar 1, 2022

Urinary tract infection toolkits are on the way

March 2022 Newsletter Medicaid Mar 1, 2022

New Strategic Provider System will launch in April 2022

March 2022 Newsletter Medicaid Mar 1, 2022

New select plans on our HealthPlus Medicare network

March 2022 Newsletter Medicare Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Newsletter Medicare Mar 1, 2022

Medication adherence

March 2022 Newsletter Medicare Mar 1, 2022

Clinical Criteria updates

March 2022 Newsletter Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Newsletter Medicare Mar 1, 2022

Keep up with Medicare news - March 2022

View these Medicare articles:

  • Medical step therapy updates
March 2022 Newsletter Medicare Mar 1, 2022

Prepare for the CAA: Keep your provider directory information current

February 2022 Newsletter Administrative Feb 1, 2022

Heart disease is the number one killer of women

Share information with patients about taking an active role in their heart health
February 2022 Newsletter Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Newsletter Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Newsletter Administrative Feb 1, 2022

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC)

February 2022 Newsletter Pharmacy Feb 1, 2022

Specialty pharmacy updates - February 2022

Material Adverse Change (MAC)
February 2022 Newsletter Pharmacy Feb 1, 2022

Pharmacy information available on empireblue.com

February 2022 Newsletter Pharmacy Feb 1, 2022

Clarification to reimbursement policy update: Virtual Visits - Professional and Facility

February 2022 Newsletter Reimbursement Policies Feb 1, 2022

Get faster payments with EFT

February 2022 Newsletter Medicaid Feb 1, 2022

Get faster payments with EFT

February 2022 Newsletter Medicare Feb 1, 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

Blue High Performance Network name changing for 2022

January 2022 Newsletter Administrative Jan 1, 2022
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