New York
Provider Communications

Physician Office Lab (POL) Listing - Updates Effective February 1, 2023

Support documentation for AIM prior authorization requests

Mail is being forwarded to new post office box addresses for one year

CAA: Keep your provider directory information up to date

Specialty pharmacy updates - November 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

Authorization application enhancements: Faster, easier, and more efficient

Submit digital attachments within 7 calendar days for claims filed with a PWK segment indicator

Now, you can submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Visit the Provider Learning Hub to view our latest learning opportunities

Remote EMR access service for HEDIS

Medical Policy and Clinical Guideline updates

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Correction to reimbursement policy: Place of Service (Facility)

Guidance for coding evaluation and management services for new and established patients

Important information about utilization management

Antipsychotic medications and diabetes

Alcohol use disorders often coexist with psychiatric disorders

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

Keep up with Medicaid news - November 2022

• Medical drug benefit Clinical Criteria updates
• Prior authorization requirement changes effective November 1, 2022

Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage Plus

Keep up with Medicare news - November 2022

• Medical drug benefit Clinical Criteria updates
• New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
• New specialty pharmacy medical step therapy requirements (Zarxio)