CommercialJune 1, 2020
June 2020 Empire Provider News
Administrative
CommercialMay 31, 2020
A special thank you to Care ProvidersThank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
CommercialMay 31, 2020
Be sure to notify Empire of changes to your demographic dataCommercialMay 31, 2020
Empire to change ID numbers for City of New York membersCommercialMay 31, 2020
Empire Covers HIV PrEP Medications at 100% for preventionCommercialMay 31, 2020
Empire CRA Program Update: Retrospective Program Begins; Prospective Program ContinuesCommercialMay 31, 2020
Availity Portal Notification CenterCommercialMay 31, 2020
Quality Corner: CPT Category II Codes - Collaborating for enhanced patient careBehavioral Health
CommercialMay 31, 2020
Empire Enhances Process for Submitting Behavioral Health Authorizations - Now AvailableCommercialMay 31, 2020
Follow-Up after Hospitalization for Mental IllnessPolicy Updates
CommercialMay 31, 2020
Medical Policy UpdatesCommercialMay 31, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness GuidelinesProducts & Programs
CommercialMay 31, 2020
Prior authorization updates for specialty pharmacy effective September 1, 2020CommercialMay 31, 2020
Clinical Criteria updates for specialty pharmacy are availableCommercialMay 31, 2020
Pharmacy information available on empireblue.comState & Federal
MedicaidMay 31, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineMedicaidMay 31, 2020
2020 affirmative statement concerning utilization management decisionsMedicaidMay 31, 2020
Modifier use remindersMedicaidMay 31, 2020
Coding spotlight - provider’s guide to code social determinants of healthMedicaidMay 31, 2020
Follow-Up After Hospitalization for Mental IllnessMedicaidMay 31, 2020
Complex Case Management programMedicaidMay 31, 2020
Members’ Rights and Responsibilities StatementMedicaidMay 31, 2020
Important information about utilization managementMedicaidMay 31, 2020
Keep up with Medicaid newsMedicare AdvantageMay 31, 2020
Introducing Interactive Care Reviewer - an online prior authorization toolMedicare AdvantageMay 31, 2020
Empire working with Optum to collect medical records for risk adjustmentMedicare AdvantageMay 31, 2020
Diabetes HbA1c < 8 HEDIS guidanceMedicare AdvantageMay 31, 2020
2020 Medicare risk adjustment provider trainingsMedicare AdvantageMay 31, 2020
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