NOVEMBER 2013

 

Changes to EmblemHealth Medicare Plans —
Effective January 1, 2014

New for 2014: Look for changes to member cost-sharing, plan benefits and provider networks used by some of our Medicare members. Learn which of these changes affect you and your patients. (more)

You can find complete information about all of our plans and networks in the Provider Manual.

Wage Parity Attestation Due

Your 4th quarter Home Care Worker Wage Parity Law Attestation is due by December 1, 2013. (more)

Recent Changes to Medicaid Managed Care Coverage

Changes to reimbursement for Medicaid managed care and Family Health Plus plans took effect October 1, 2013 for elective C-section deliveries and elective inductions of labor for pregnancies less than 39 weeks. (more)

Chinatown EmblemHealth Neighborhood Care
Now Open

Building on the success of our Cambria Heights and Harlem Neighborhood Care sites, EmblemHealth is proud to announce the opening of our third location Chinatown. Located at 87 Bowery in Manhattan, the dedicated staff is available to you and your patients Monday through Saturday, from 10 am to 7 pm.

Stop by our new location and experience what we have to offer. Our on-site clinical support team, including a registered nurse and a pharmacist, are available to help your patients comply with your treatment goals.

Don't have time to stop by? Take an online tour or call 1-855-283-2151.

NEW Select Care Workshops

We urge providers in the Select Care network to attend a workshop on how to manage their Select Care members. You will learn about the Select Care network and its plans, how to identify Select Care members and how the network impacts your patients and your practice. Register soon space is limited. See workshop listings at top right.

EmblemHealth Neighborhood Care — Community Events

All events are free and open to the public — view the full calendar of events for the Cambria Heights, Harlem and Chinatown sites.

Visit ehnc.com for more information on all that EmblemHealth Neighborhood Care has to offer you and your patients.

 

Select Care Workshops

Note: Presentations begin promptly at the start times indicated below.

  • Wed., 12/4: 10 am to noon
    RXR Center, 395 North Service Road
    Lower Level Conference Center
    Melville, NY 11747
    RSVP by Mon., 12/2 to Paul Mangulis
    1-646-447-3260 or pmangulis@emblemhealth.com
  • Fri., 12/6: 10 am to noon
    Ocean View Room at the Vanderbilt,
    at South Beach
    300 Father Capodanno Boulevard
    Staten Island, NY 10305
    RSVP by Wed., 12/4 to
    Nicole Macdonald 1-646-447-7546 or nmacdonald@emblemhealth.com
  • Tue., 12/10: 3 to 5 pm
    EmblemHealth Neighborhood Care
    206-20 Linden Blvd
    Cambria Heights, NY 11411
    RSVP by Fri., 12/6 to Irene Gabb
    1-646-447-6505 or igabb@emblemhealth.com
  • Thurs., 12/12: 3 to 5 pm
    EmblemHealth Neighborhood Care
    — Harlem
    204 West 125th Street
    New York, NY 10027
    RSVP by Tue., 12/10 to
    Charlene M. McLeod
    1-646-447-3273 or cmcleod@emblemhealth.com
    After the special presentation on the Affordable Care Act, you will have the opportunity to take a tour of EmblemHealth Neighborhood Care.
  • Fri., 12/13: 9 am to noon
    NY Marriott at the Brooklyn Bridge
    333 Adams Street
    Brooklyn, NY 11201
    RSVP by Wed., 12/11 to Kathleen Mausser 1-646-447-3436 or kmausser@emblemhealth.com
  • Tue., 12/17: 11 am to 1 pm
    Peconic Bay Medical Center
    1300 Roanoke Avenue
    Riverhead, NY 11901
    RSVP by Fri., 12/13 to
    Nicole Macdonald 1-646-447-7546 or nmacdonald@emblemhealth.com
    A special presentation on the Affordable Care Act will be given at this event.
  • Thur., 12/19: 10 am to noon
    Webinar online only
    RSVP by Tue., 12/17 to Larissa Swanberg-Obadia 1-631-844-2520 or lswanbergobadia@emblemhealth.com

Monthly Webinars for Practitioners and Office Staff

Topics include:

  • Navigating our secure Web site
  • Using medical and payment policy tools
  • Identifying EmblemHealth member ID cards and member benefits

Who should attend: Practitioners and their staff members who want to learn about new EmblemHealth products and Web site updates.

When: Second Wednesday of each month; 10-11 am and 2-3 pm

To register: Complete and submit an online registration form.

 

 

Review your information now to ensure you are correctly listed in our EmblemHealth directories. If any of your information has changed or is inaccurate, just follow our simple instructions to update your profile online. Can't update your information online? Fax your changes to our Provider Modifications team at 1-877-889-9061.

 
 

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Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.