In This Issue:

HIP Service Area Expansion Affects GHI HMO Providers

New Prior Approval List

New Web Usage Requirements for GHI HMO Network Providers

New EmblemHealth Radiation Therapy Program and EmblemHealth Cardiology Imaging Program and HIP Radiology Programs Apply to More Members

Updated Fax Forms for: EmblemHealth Injectable Drug Utilization Management Program

EmblemHealth Consolidates Post Office Boxes for GHI HMO and EmblemHealth Medicare PPO

Claims Corner

Medicaid and Medicare Updates

Behind the Scenes

Case Management Programs

Stressing the Importance of Prenatal Visits

Well-Child Visits

High-Risk Medications for Elderly Patients

Healthful Aging Starts With Lifestyle Changes and Preventive Screenings

Talking With Patients About Urinary Incontinence

Treating Rheumatoid Arthritis

Assisting Patients Living With HIV

Treating Low Back Pain

Asthma Management

CPT Codes for Tobacco Cessation Counseling

Clinical Corner

News&Notes Archive

High-Risk Medications for Elderly Patients

Listed below are drugs categorized by the Centers for Medicare and Medicaid Services (CMS) as high-risk medications for patients over age 65. To help keep our members safe, please evaluate your patientsí drug treatment regimens to determine if a safer, alternate medication would be right for them. We recognize that for some patients a medication change may be inappropriate, so we encourage you to continue discussing the risk factors associated with these medications.


CMS: High-Risk Medications for Patients Over Age 65*
Amphetamine Diphenoxylate/Atropine Ketorolac Orphenadrine
Carisoprodol Dipyridamole Meprobamate Phenobarbital
Cyclobenzaprine Estrogen Metaxalone Promethazine
Cyproheptadine Hydroxyzine Methocarbamol Scopolamine
Dextroamphetamine Hyoscyamine Methylphenidate Thioridazine
Dicylomine Hyoscyamine/Methenam/
M Blue/Phenyl Salicyl
Nitrofurantoin Trimethobenzamide

*Please consult the complete medication list for all the high-risk medications.

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