CommercialApril 1, 2020
April 2020 Empire Provider News
Administrative
CommercialMarch 31, 2020
Information from Empire for Care Providers about COVID-19CommercialMarch 31, 2020
Anthem, Inc., Empire’s parent company, acquires Beacon Health OptionsCommercialMarch 31, 2020
Provider Transparency UpdateCommercialMarch 31, 2020
Empire continues focus on updates to our public provider websiteCommercialMarch 31, 2020
MCG Care Guidelines 24th EditionPolicy Updates
CommercialMarch 31, 2020
Policy UpdatesProducts & Programs
CommercialMarch 31, 2020
Level of Care medical necessity reviews for upper and lower endoscopy procedures begin July 1, 2020CommercialMarch 31, 2020
HEDIS 2020 Federal Employee Program® medical record request requirementsCommercialMarch 31, 2020
Empire prior authorization updates for specialty pharmacy are availableCommercialApril 1, 2020
Empire to delay most 4/1/2020 formulary list updates for commercial health plan pharmacy benefitCommercialMarch 31, 2020
Pharmacy information available on empireblue.comState & Federal
MedicaidMarch 31, 2020
Prior authorization requirements: new 2020 codes for coverage and precertificationMedicaidMarch 31, 2020
Medical drug benefit Clinical Criteria updates (November 2019)MedicaidMarch 31, 2020
Medical drug benefit Clinical Criteria updates (December 2019)MedicaidMarch 31, 2020
Update to corrected claims filing guidelinesMedicaidMarch 31, 2020
Use of Imaging Studies for Low Back Pain (LBP)MedicaidMarch 31, 2020
Disease Management can help you care for patients with chronic health care needsMedicaidMarch 31, 2020
Appointment access standards for PCPs, specialty care and behavioral health practitionersMedicaidMarch 31, 2020
Keep up with Medicaid newsMedicare AdvantageMarch 31, 2020
Medical drug benefit Clinical Criteria updates (November 2019)Medicare AdvantageMarch 31, 2020
Medical drug benefit Clinical Criteria updates (December 2019)Medicare AdvantageMarch 31, 2020
2020 Medicare risk adjustment provider trainingsMedicare AdvantageMarch 31, 2020
Keep up with Medicare newsTo view this publication online:
Visit https://providernews.anthem.com/new-york/publications/april-2020-provider-news-530
Or scan this QR code with your phone