MedicaidApril 30, 2019
Clinical Criteria updates
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
On August 17, 2018, October 9, 2018, and November 16, 2018, the pharmacy and therapeutic (P&T) committee approved Clinical Criteria applicable to the medical drug benefit for Empire BlueCross BlueShield HealthPlus (Empire). These policies were developed, revised or reviewed to support clinical coding edits.
The Clinical Criteria is publicly available on the Empire provider website, and the effective dates are reflected in the Clinical Criteria updates notification. Visit the Clinical Criteria website to search for specific policies.
Email for questions or additional information.
PUBLICATIONS: May 2019 Empire Provider Newsletter
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Visit https://providernews.anthem.com/new-york/articles/clinical-criteria-updates-5-2267
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