New York
Provider Communications

May 2020 Empire Provider News

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Title Category

Prior authorization updates for specialty pharmacy are available

Pharmacy

COVID-19 Information repository for Empire Care Providers

Administrative

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

Administrative

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

Administrative

Medical Policy and Clinical Guideline updates

Medical Policy & Clinical Guidelines

Clinical Criteria updates for specialty pharmacy are available

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Reminder about System Updates

Reimbursement Policies

Outpatient Surgical Grouper

Reimbursement Policies

Correct Mailing Address for Federal Employee Program Paper Claims and Claims Related Correspondence

Federal Employee Plan (FEP)

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicaid

Acquisition of Beacon Health Options

Medicaid

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

Medicare

Multi-dose packaging

Medicare

Keep up with Medicare news

Medicare
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