June 1, 2021

June 2021 Newsletter

Filter By: AllCommercial

Administrative

AdministrativeCommercialMay 31, 2021

Keep your contact information current

Digital SolutionsCommercialMay 31, 2021

Two great learning resources on One Secure Portal

Digital SolutionsCommercialMay 31, 2021

Submit EDI corrected claims via Availity or EDI

Digital SolutionsCommercialMay 31, 2021

Digital Solution Options with Availity

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 31, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines
Material adverse change (MAC) notification

Medical Policy & Clinical GuidelinesCommercialMay 31, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines
Material adverse change (MAC) notification

Medical Policy & Clinical GuidelinesCommercialMay 31, 2021

Clinical Criteria updates for specialty pharmacy
Material adverse change (MAC) notification

Reimbursement PoliciesCommercialMay 31, 2021

Empire to enhance claim edits for Outpatient Facility Claims

Products & Programs

Products & ProgramsCommercialMay 31, 2021

Let’s Vaccinate
Help increase your vaccination rates and close gaps-in-care with these tools and strategies.

Federal Employee Program (FEP)CommercialMay 31, 2021

DEXA bone scan criteria for the Federal Employee Program

PharmacyCommercialMay 31, 2021

Updates for specialty pharmacy effective September 1, 2021
Material adverse change (MAC) notification

PharmacyCommercialMay 31, 2021

Designated specialty pharmacy network updates

PharmacyCommercialMay 31, 2021

Pharmacy information available on empireblue.com

State & Federal

State & FederalMedicaidMay 31, 2021

Provider education program survey: Your Voice Counts

State & FederalMedicaidMay 31, 2021

MCG Care Guidelines 25th Edition

State & FederalMedicaidMay 31, 2021

Keeping up with routine vaccination during COVID-19

State & FederalMedicaidMay 31, 2021

Aspire Health for members in need of palliative care

State & FederalMedicaidMay 31, 2021

Complex Case Management program

State & FederalMedicaidMay 31, 2021

Important information about utilization management

State & FederalMedicaidMay 31, 2021

Members’ Rights and Responsibilities Statement

State & FederalMedicaidMay 31, 2021

Keep up with Medicaid news

State & FederalMedicare AdvantageMay 31, 2021

MCG Care Guidelines 25th Edition

State & FederalMedicare AdvantageMay 31, 2021

Medical Policies and Clinical Utilization Management Guidelines update

State & FederalMedicare AdvantageMay 31, 2021

Keep up with Medicare news