CommercialFebruary 1, 2020
February 2020 Empire Provider News
Administrative
CommercialJanuary 31, 2020
Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020CommercialJanuary 31, 2020
NYSHIP (New York State Health Insurance Program) change in immunization claim submissionsBehavioral Health
CommercialJanuary 31, 2020
Shine Light on Depression: school-based suicide prevention initiativePolicy Updates
CommercialJanuary 31, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelinesCommercialJanuary 31, 2020
Updates to AIM Musculoskeletal Program Clinical Appropriateness GuidelinesCommercialJanuary 31, 2020
Medical Policy and Clinical Guideline updatesCommercialJanuary 31, 2020
Clinical Laboratory Improvements Amendments for EmpireProducts & Programs
CommercialJanuary 31, 2020
Clinical Criteria updates for specialty pharmacy are availableCommercialJanuary 31, 2020
Empire to update formulary lists for commercial health plan pharmacy benefitState & Federal
MedicaidJanuary 31, 2020
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (Effective 05/01/20)Medicare AdvantageJanuary 31, 2020
Keep up with Medicare newsMedicare AdvantageJanuary 31, 2020
General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage optionMedicare AdvantageJanuary 31, 2020
Reimbursement Policy Update: Multiple and Bilateral Surgery: Professional and Facility Reimbursement (Policy 06-010, effective 05/01/20)Medicare AdvantageJanuary 31, 2020
Reimbursement Policy Update: Modifier 62: Co-Surgeons (Effective 05/01/2020)Medicare AdvantageJanuary 31, 2020
Medicare Advantage Outpatient Rehabilitation Program transition informationMedicare AdvantageJanuary 31, 2020
Postponed - Review of professional claims with emergency room level 5 E/M codesMedicaidJanuary 31, 2020
Keep up with Medicaid newsMedicaidJanuary 31, 2020
Non-covered codes for Medicaid Managed Care (MMC) providersMedicaidJanuary 31, 2020
Resources to support your diverse patient panelTo view this publication online:
Visit https://providernews.anthem.com/new-york/publications/february-2020-empire-provider-news-440
Or scan this QR code with your phone