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

HIP Service Area Expansion Affects
GHI HMO Providers

Pending approval from the NYS Departments of Health and Financial Services (DOH and DOFS, respectively), EmblemHealth anticipates merging its company GHI HMO Select, Inc. (GHI HMO) into HIP Health Plan of New York (HIP) on or around November 1, 2012. In accordance with DOH requirements, notices have been sent to GHI HMO contracted providers in July and again in August, 30 days apart. A final notice will be sent once the merger is approved. Most providers in the GHI HMO network who are not already in the HIP network will be invited to participate in certain HIP commercial HMO benefit plans: HIPaccess® I, HIP Prime® HMO, HIP POS, Direct Pay HMO, Direct Pay POS and Healthy NY.


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