CommercialMedicare AdvantageMedicaidMay 2, 2023
May 2023 Provider News
Administrative
CommercialMay 1, 2023
Moving Toward Equity in Asthma CareCommercialMay 1, 2023
Specialty pharmacy site of care reviews for NYSHIP Empire Plan members - effective July 1, 2023CommercialMay 1, 2023
Implementation of new strategic provider system in June 2023CommercialMay 1, 2023
Consolidated Appropriations Act: Review your online provider directory information regularlyCommercialMedicare AdvantageMay 1, 2023
You are invited! Skilled Nursing Facility (SNF) providers: Fall prevention and patient safetyJoin this CME webinar to learn best practices to preventing falls of your older patients Wednesday, June 7, 2023 at noon EST.
CommercialMedicare AdvantageMay 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!CommercialMedicare AdvantageMedicaidMay 1, 2023
Enhanced Provider News website and email communications launching May 1, 2023Policy Updates
CommercialMedicaidMay 1, 2023
Genetic TestingCommercialMay 1, 2023
Medical Policy and Clinical Guideline updatesCommercialMay 1, 2023
New Reimbursement policy: Bundled Supplies and Services - FacilityCommercialMay 1, 2023
Reimbursement policy update: Robotic Assisted Surgery – ProfessionalProducts & Programs
CommercialMay 1, 2023
Specialty pharmacy updates - May 2023CommercialMay 1, 2023
Clinical Criteria updates for specialty pharmacyState & Federal
MedicaidMay 1, 2023
Keep up with Medicaid news - May 2023View these Medicaid articles:
- New specialty pharmacy medical step therapy requirements (Infed, Injectafer, Monoferric, Feraheme, Ferrlecit, Venofer)
- New specialty pharmacy medical step therapy requirements (Alymsys)
- New specialty pharmacy medical step therapy requirements(Releuko)
- Clinical Criteria updates
- Moving Toward Equity in Asthma Care CME Training and Asthma Medication Ratio HEDIS measure update
Medicare AdvantageMay 1, 2023
Genetic testingMedicare AdvantageMay 1, 2023
Did your patient have a recent fracture?NYBCBS-CDCRCM-023177-23
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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