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Provider Communications

October 2019 Empire Provider News

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Title Category

Aspire Telehealth Palliative Care program

Medicare

Attention: updated physician lab fee schedules for Medicare Advantage products

Medicare

Empire CRA Reporting Update: Retrospective Program continues

Administrative

Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

Administrative

Empire launches additional changes to empireblue.com/provider

Administrative

Empire specialty pharmacy medical step therapy drug list - clarification

Pharmacy

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

Federal Employee Plan (FEP)

Important update to Empire’s commercial drug lists

Pharmacy

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Lowering health risks with no-cost statins

Medicare

Medical drug Clinical Criteria updates

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

Medicare

Medical Policies and Clinical Utilization Management Guidelines update - June 2019

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update - March 2019

Medicaid

Medicare preferred continuous glucose monitors

Medicare

National Accounts 2020 Pre-certification list

Administrative

New clinical guideline: pneumatic compression devices, effective December 1, 2019

Medicaid

Pharmacy information available on empireblue.com

Pharmacy

Pre-certification information for the Federal Employee Program

Federal Employee Plan (FEP)

Prior authorization requirements changes effective November 1, 2019

Medicare

Prior authorization requirements changes effective November 1, 2019

Medicaid

Reimbursement Policy update

Reimbursement Policies

Update: 2019 risk adjustment provider training

Medicare

UPDATE: New AIM Rehabilitative Program will begin November 1, 2019

Products & Programs

US Antibiotic Awareness Week is November 11-18, 2019

Federal Employee Plan (FEP)
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