CommercialAugust 1, 2022

August 2022 Newsletter

Administrative

AdministrativeCommercialJuly 31, 2022

Correction: Physician Office Lab list updates effective October 1, 2022
Material Adverse Change (MAC)

AdministrativeCommercialJuly 31, 2022

Timely updates help keep our provider directories current

Behavioral Health

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJuly 31, 2022

Medical Policy and Clinical Guideline updates
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialJuly 31, 2022

Pharmacy information available online

PharmacyCommercialJuly 31, 2022

Clinical Criteria updates for specialty pharmacy
Material Adverse Change (MAC)

PharmacyCommercialJuly 31, 2022

Specialty pharmacy updates
Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageJuly 31, 2022

Empire expands specialty pharmacy precertification list

State & FederalMedicare AdvantageJuly 31, 2022

Prior authorizations for post-acute care

State & FederalMedicaidJuly 31, 2022

The cost of alcohol use disorder

State & FederalMedicaidJuly 31, 2022

Using SBIRT to address opioid and substance use disorders

State & FederalMedicaidJuly 31, 2022

Chlamydia screening

State & FederalMedicaidJuly 31, 2022

HEDIS 2022: Summary of changes from NCQA