New York
Provider Communications

August 2022 Newsletter

Title	Category
Correction: Physician Office Lab list updates effective October 1, 2022 *Material Adverse Change (MAC)*	Administrative
Timely updates help keep our provider directories current	Administrative
Introducing the Provider Learning Hub	Digital Tools
Add supporting documents directly to your claims with the new Claims Status Send Attachments feature	Digital Tools
Performance enhancements to the authorization application on Availity Essentials	Digital Tools
Telehealth visits can impact after-hospitalization follow-up care for mental illness	Behavioral Health
Specialty pharmacy updates *Material Adverse Change (MAC)*	Pharmacy
Clinical Criteria updates for specialty pharmacy *Material Adverse Change (MAC)*	Pharmacy
Pharmacy information available online	Pharmacy
Medical Policy and Clinical Guideline updates *Material Adverse Change (MAC)*	Medical Policy & Clinical Guidelines
HEDIS 2022: Summary of changes from NCQA	Medicaid
Chlamydia screening	Medicaid
Using SBIRT to address opioid and substance use disorders	Medicaid
The cost of alcohol use disorder	Medicaid
Prior authorization requirement changes updated effective date November 1, 2022	Medicaid
Prior authorizations for post-acute care	Medicare
Empire expands specialty pharmacy precertification list	Medicare

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