New York
Provider Communications

New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional

Prior authorization updates for specialty pharmacy effective September 1, 2020

Clinical Criteria updates for specialty pharmacy are available

Pharmacy information available on empireblue.com

Introducing Interactive Care Reviewer - an online prior authorization tool

Empire working with Optum to collect medical records for risk adjustment

Diabetes HbA1c < 8 HEDIS guidance

2020 Medicare risk adjustment provider trainings

Keep up with Medicare news

Medical Policy Updates

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

2020 affirmative statement concerning utilization management decisions

Modifier use reminders

Coding spotlight - provider’s guide to code social determinants of health

Follow-Up After Hospitalization for Mental Illness

Complex Case Management program

Members’ Rights and Responsibilities Statement

Important information about utilization management

Keep up with Medicaid news

Empire Enhances Process for Submitting Behavioral Health Authorizations - Now Available

Follow-Up after Hospitalization for Mental Illness

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

Be sure to notify Empire of changes to your demographic data

Empire Covers HIV PrEP Medications at 100% for prevention

Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues

Empire to change ID numbers for City of New York members

Availity Portal Notification Center

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care