CommercialFebruary 1, 2021
February 2021 Empire Provider News
Administrative
CommercialJanuary 31, 2021
New provider directory indicator for telehealth servicesCommercialJanuary 31, 2021
Procedure Searches in Find Care - New Sort OptionPolicy Updates
CommercialJanuary 31, 2021
Treatment Rooms with Office Evaluation and Management Services (Facility)Material Adverse Change (MAC) Notification
CommercialJanuary 31, 2021
Emergency Room Transfers (Facility)Material Adverse Change (MAC) Notification
Products & Programs
CommercialJanuary 31, 2021
Prior authorization updates for specialty pharmacy are availableMaterial Adverse Change (MAC) Notification
CommercialJanuary 31, 2021
Pharmacy information available on empireblue.comCommercialJanuary 31, 2021
Empire to update formulary lists for commercial health plan pharmacy benefitState & Federal
MedicaidJanuary 31, 2021
Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviewsMedicare AdvantageJanuary 31, 2021
Keep up with Medicare newsMedicare AdvantageJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicaidJanuary 31, 2021
Keep up with Medicaid newsMedicaidJanuary 31, 2021
Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID CardsMedicaidJanuary 31, 2021
Medical drug benefit Clinical Criteria updatesMedicaidJanuary 31, 2021
HEDIS Measurement Year 2020: Medicaid summary of changes from NCQAMedicaidJanuary 31, 2021
CAHPS® surveyMedicaidJanuary 31, 2021
Colorectal Cancer Screening (COL) - ensuring quality of careMedicaidJanuary 31, 2021
New specialty pharmacy medical step therapy requirementsMedicaidJanuary 31, 2021
Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326MedicaidJanuary 31, 2021
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