New York
Provider Communications

Provider outreach to validate your provider data

Evaluation and management services for COVID testing - professional

Material adverse change (MAC)

Exploring the Intersection of Race and Disability

Once-a-year testing is critically important to providing quality diabetes care

CAA: Provider directories accuracy is important

Opioid overdose deaths: What can we do?

Specialty pharmacy updates - June 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Material Adverse Change (MAC)

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

Updates to AIM Specialty Health sleep disorder management clinical appropriateness

Material Adverse Change (MAC)

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

Material Adverse Change (MAC)

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

Provider notice for COVID-19 testing

InterQual migration

Medical Policies and Clinical Utilization Management Guidelines update

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Provider notice for COVID-19 testing

Medical drug benefit Clinical Criteria updates

Medical Policies and Clinical Utilization Management Guidelines update

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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