The latest Empire articles and announcements on Medicaid Managed Care policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more:
Three-point match verification for professional claims payment
Empire BlueCross BlueShield HealthPlus transitioned its claim payment verification from a two-point match to a three-point match for 2022.
CPT Category II Update
Providers can earn additional reimbursement on health and wellness services provided to Empire BlueCross BlueShield HealthPlus (Empire) members
NY Medicaid Statewide MAT Formulary Changes - Effective March 22, 2022
Update: Single Statewide Formulary for Opioid Dependence Agents and Opioid Antagonist
Required: Cultural competence training
To ensure the cultural competence of our provider network, all Empire BlueCross BlueShield HealthPlus (Empire) contracted/participating providers must certify, on an annual basis, completion of the state-approved cultural competence training curriculum, as required for all participating provider staff who have regular and substantial contact with our members.