CommercialNovember 1, 2019
November 2019 Empire Provider News
Administrative
CommercialOctober 31, 2019
Appropriate coding helps provide a comprehensive picture of patients’ healthCommercialOctober 31, 2019
Additional improvements coming to empireblue.comPolicy Updates
CommercialOctober 31, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Updates to AIM Spine Surgery Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness GuidelineCommercialOctober 31, 2019
Medical Policy & Clinical Guideline updatesProducts & Programs
CommercialOctober 31, 2019
Reminder about AIM’s new Rehabilitative Program effective November 1, 2019CommercialOctober 31, 2019
Clinical Criteria updates for specialty pharmacy are availableCommercialOctober 31, 2019
Prior authorization updates for specialty pharmacy are availableCommercialOctober 31, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020State & Federal
Medicare AdvantageOctober 31, 2019
Keep up with Medicare newsMedicare AdvantageOctober 31, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementMedicare AdvantageOctober 31, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageOctober 31, 2019
Electronic submission is preferred method for requesting pharmacy prior authorizationMedicaidOctober 31, 2019
Keep up with Medicaid newsMedicaidOctober 31, 2019
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)MedicaidOctober 31, 2019
Electronic submission is preferred method for requesting pharmacy prior authorizationTo view this publication online:
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