October 1, 2022

October 2022 Newsletter

Filter By: AllCommercial

Administrative

AdministrativeCommercialSeptember 30, 2022

Physician Office Lab (POL) List - October updates postponed

AdministrativeCommercialSeptember 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

AdministrativeCommercialSeptember 30, 2022

Precertification list change
Material Adverse Change (MAC)

AdministrativeCommercialSeptember 30, 2022

National Accounts 2023 Pre-certification list

AdministrativeCommercialSeptember 30, 2022

CAA: Review your online provider directory information

Digital SolutionsCommercialSeptember 30, 2022

The Provider Learning Hub is here

Policy Updates

Reimbursement PoliciesCommercialSeptember 30, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialSeptember 30, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional
Material Adverse Change (MAC)

Reimbursement PoliciesMedicaidSeptember 30, 2022

Flu vaccination reimbursement

Products & Programs

PharmacyCommercialSeptember 30, 2022

IngenioRx will become CarelonRx on January 1, 2023

PharmacyCommercialSeptember 30, 2022

Specialty pharmacy updates - October 2022
Material Adverse Change (MAC)

PharmacyCommercialSeptember 30, 2022

Clinical Criteria updates for specialty pharmacy
Material Adverse Change (MAC)

PharmacyCommercialSeptember 30, 2022

Pharmacy information available on empireblue.com

State & Federal

State & FederalMedicaidSeptember 30, 2022

Monkeypox resources and recommendations for our care providers

State & FederalMedicaidSeptember 30, 2022

Members’ Rights and Responsibilities

State & FederalMedicaidSeptember 30, 2022

Complex Case Management program

State & FederalMedicaidSeptember 30, 2022

Keep up with Medicaid news - October 2022
View these Medicaid articles:
  • Prior authorization updates for medications billed under the medical benefit – effective 11/1/22
  • Prior authorization updates for medications billed under the medical benefit – effective 12/1/22
  • New specialty pharmacy medical step therapy requirements

State & FederalMedicare AdvantageSeptember 30, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

State & FederalMedicare AdvantageSeptember 30, 2022

Keep up with Medicare news - October 2022
View these Medicare articles:
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list
  • Empire BlueCross BlueShield expands specialty pharmacy precertification list 
  • Consultation codes