New York
Provider Communications

January 2022 Newsletter

Title	Category
Blue High Performance Network name changing for 2022	Administrative
Well-child visits: Know the numbers	Administrative
Medical policy and clinical guideline updates Material Adverse Change (MAC)	Medical Policy & Clinical Guidelines
2022 FEP® Benefit information available online	Federal Employee Plan (FEP)
Botox update for Empire BlueCross BlueShield HealthPlus members	Medicaid
Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting	Medicaid
2021 CAHPS Survey results	Medicaid
Keep up with Medicaid news - January 2022 View these Medicaid articles: AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update Prior authorization updates for medications billed under the medical benefit	Medicaid
NYC Medicare Advantage Plus effective date change	Medicare
Important update on Botox® for Medicare members of Empire BlueCross BlueShield	Medicare
Local 282 Welfare Trust Fund moves to Empire MediBlue Freedom (PPO) Medical plan	Medicare
Professional claims — billing referring provider and NPI for home infusion therapy and ambulatory infusion suite	Medicare
Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting	Medicare
Keep up with Medicare news - January 2022 View these Medicare articles: Medical step therapy updates Empire BlueCross expands specialty pharmacy precertification list AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update	Medicare

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