Policy and Alerts

Date Issued
Title
11/17/2016
Commercial Coordination of Benefits 837D Electronic Claims Transactions
11/16/2016
EmblemHealth’s Affordable Care Act Preventive Medication Coverage Guidelines for GHI City of New York Members
11/10/2016
EmblemHealth Vision Services Program
11/4/2016
Summary of 2017 Medicare Benefit and Plan Changes
11/2/2016
2017 Benefit Changes to Select Care Plans and Essential Plan
11/1/2016
Medicaid Recertification/Eligibility End Date Being Added to 270/271 Report
10/12/2016
EmblemHealth Vision Services Program
9/1/2016
Myriad Genetics - Not Contracted with EmblemHealth
7/22/2016
CDC Guideline for Prescribing Opioids
7/5/2016
Correct reporting of CPT code 95937
5/12/2016
Public Notice of Unclaimed Checks for Providers and Members
5/10/2016
Important Information about Benefit Changes for City of New York Employees and Non-Medicare Eligible Retirees
5/4/2016
NYSDOH Plan Participation Audit Starts Soon – Review Your Network Participation Now
4/20/2016
Coming soon - New Benefit Plan Design for CNY Employees
1/29/2016
New Name for ValueOptions – Same Behavioral Health Service
1/6/2016
Quest Diagnostics Continues as EmblemHealth's Preferred Laboratory Partner
1/4/2016
Managed Long-Term Care Plans Update
12/15/2015
Changes to Pre-Certification Process for GHI PPO City of New York Employees/Non-Medicare Eligible Retirees with GHI PPO Benefits
11/18/2015
2016 Medical Policy Revisions
11/13/2015
Health and Recovery Plan (HARP) Enrollment Notices:
What Providers Need to Know
11/13/2015
Nassau and Suffolk Counties Transportation Carve-out for Medicaid Managed Care Enrollees Effective December 1, 2015
11/11/2015
Submitting a Request for an Expedited Appeal or Reconsideration
11/6/2015
Spine Surgery and Pain Management Therapies Program Starts November 16, 2015
10/13/2015
Coverage Policy for Helicobacter Pylori
10/8/2015
New Reimbursement Rules for Modifier 53
9/29/2015
SUMMARY OF MEDICARE BENEFIT & PLAN DESIGN CHANGES FOR 2016
9/22/2015
Changes in 2016 EmblemHealth Select Care Network Plans
9/1/2015
Provider Compliance with ICD-10
9/1/2015
Spine Surgery & Pain Management UM Program Start Delayed
8/27/2015
Reminder: Medicaid Provider
Non-Interference
8/25/2015
Now Available: Electronic Commercial Coordination of Benefits – Electronic Claims Transactions
7/28/2015
Put Your Electronic Medical Records (EMRs) To Work – Simplify Medical Record Submissions
7/22/2015
Now Available: New FIDA Provider Training Modules
5/14/2015
EmblemHealth Can Accept Electronic Claims Transactions for Commercial Coordination of Benefits
4/28/2015
Using Modifier 78 with an Unplanned Return to the Operating Room
4/16/2015
Coming Soon — Medicaid Behavioral Health Services/HARP
3/18/2015
EmblemHealth Has Reached an Agreement with Emdeon
3/11/2015
EmblemHealth Ends EDI Agreement with Emdeon
1/30/2015
Obstetrical Providers Reimbursed for Immediate Postpartum Contraception
12/29/2014
First Round of FIDA Provider Training Requirements
12/29/2014
Help Us Avoid Disruptions in Care for our Medicare PPO Members
10/28/2014
EmblemHealth Offers New Select Care Plans for 2015
10/16/2014
Summary of Changes to EmblemHealth Medicare, Effective January 1, 2015
10/1/2014
Change to EmblemHealth’s Compounded Drug Coverage, Effective November 15, 2014
9/30/2014
Change in CPT Codes for Qualitative Drug Screen Testing
9/26/2014
Long-Acting Reversible Contraceptives
8/22/2014
MRT Compliance C-Section/Early Delivery Billing Update
7/29/2014
PNC Remittance Advantage: Electronic Funds Transfer and Remittance Advice (EFT-ERA)
7/10/2014
Effective May 1, 2014, Contact EmblemHealth To Obtain Prior Approval of Prescription Drugs for All Plan Members
6/9/2014
Legislation Enacted to Increase HIV Testing in New York State
6/5/2014
Submit Prior Authorizations/Coverage Determinations with Ease Through PromptPA
5/29/2014
Home Care Worker Wage Parity Law Attestations
(Revised May 16, 2014)
5/2/2014
Providers of Long Term Services and Supports (LTSS) Must Verify Medicaid Eligibility
4/4/2014
Medicaid Redesign Team Change Effective March/April 1, 2014
3/28/2014
2013 Regulatory and Plan Compliance Mailing
2/19/2014
Complying With Access and Availability Standards
2/3/2014
Lactation Consulting Services
1/23/2014
Revised Prior Approval List for Networks Effective January 22, 2014
11/19/2013
Summary of Changes to EmblemHealth Medicare – Effective January 1, 2014
10/1/2013
EmblemHealth Launches the Select Care Network
8/14/2013
GHI HMO Plans Now Underwritten By HIP
7/3/2013
State Sponsored Programs Rebranding
6/28/2013
EmblemHealth Confidentiality Protocols for Domestic Violence Victims and Endangered Victims
6/20/2013
NY Bridge Plan To Be Administered Under Federal Program Effective July 1, 2013
6/6/2013
NYSDOH Implements Medicaid Prior Authorization Request Form for Prescriptions
5/8/2013
Changes to Medicare PPO Prior Approval Rules for PT/OT/STST
4/23/2013
Access and Availability Surveys
1/14/2013
Changes to New York City Medicaid and Family Health Plus Transportation Benefit Effective January 1, 2013
10/11/2012
Enhanced Autism Mandate Effective November 1 2012
10/1/2012
EmblemHealth Cardiology Imaging Program Adds New Members
10/1/2012
New EmblemHealth Radiation Therapy Program Starts October 1 2012
10/1/2012
New HIP Members Added to the HIP Radiology Program
9/25/2012
Introducing Care360
9/24/2012
EmblemHealth Introduces HealthEssentials on October 1, 2012
8/20/2012
Changes to Fax Numbers for Utilization Requests
6/25/2012
Low Birth-Weight Babies Now Covered
NYC DOHMH Six Cases of Measles in NYC