April 1, 2022

April 2022 Newsletter

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Administrative

AdministrativeCommercialMarch 31, 2022

The Anthem, Inc. name is changing

AdministrativeCommercialMarch 31, 2022

CAA: Update your provider directory information

AdministrativeCommercialMarch 31, 2022

Catching up on routine vaccines

AdministrativeCommercialMarch 31, 2022

HEDIS 2022: Summary of changes from NCQA

Digital SolutionsCommercialMarch 31, 2022

Procedure searches in Find Care

Behavioral Health

Behavioral HealthCommercialMarch 31, 2022

Importance of behavioral healthcare after-hours messaging

Products & Programs

PharmacyCommercialMarch 31, 2022

Pharmacy information available on empireblue.com

PharmacyCommercialMarch 31, 2022

Reminder on Botox® for Empire members

PharmacyCommercialMarch 31, 2022

Specialty pharmacy updates - April 2022

Material Adverse Change (MAC)

State & Federal

State & FederalMedicaidMarch 31, 2022

Syphilis, including congenital cases, on the rise in New York

State & FederalMedicare AdvantageMarch 31, 2022

Keep up with Medicare news – April 2022

View these Medicare articles:

  • Medical Policies and Clinical Utilization Management Guidelines update
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

State & FederalMedicare AdvantageMarch 31, 2022

The impact of listening

State & FederalMedicare AdvantageMarch 31, 2022

Model of Care required training

State & FederalMedicare AdvantageMarch 31, 2022

Clinical Criteria updates

State & FederalMedicare AdvantageMarch 31, 2022

Reimbursement Policy Update: Inpatient Readmissions

State & FederalMedicare AdvantageMarch 31, 2022

The Anthem, Inc. name is changing

State & FederalMedicaidMarch 31, 2022

Keep up with Medicaid news – April 2022

View these Medicaid articles:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Prior authorization updates for medications billed under the medical benefit
  • Medical drug benefit Clinical Criteria updates
  • Medical Policies and Clinical Utilization Management Guidelines update

State & FederalMedicaidMarch 31, 2022

Clinical Criteria updates

State & FederalMedicaidMarch 31, 2022

Disease Management/Population Health program

State & FederalMedicaidMarch 31, 2022

Reimbursement Policy Update: Inpatient Readmissions

State & FederalMedicaidMarch 31, 2022

The Anthem, Inc. name is changing