MAY 2012

Mandatory Enrollment of
New York City Homeless

The New York State Department of Health (NYSDOH) has begun mandatory enrollment of the New York City homeless population into Medicaid managed care. In New York City implementation began on April 1, 2012, and will continue in three phases over a six-month period, each targeting a specific homeless population. Each stage will begin with New York Medicaid Choice mailing mandatory enrollment notices to homeless individuals advising them they must chose a health plan within 30 days or they will be auto-assigned to a health plan. more

New EmblemHealth Contact Information Tool

We are offering new contact tools for providers interacting with EmblemHealth and our plans underwritten by HIP and GHI. These tools will give you the correct contact information for obtaining general plan information, referrals, prior approvals or for any other business you regularly conduct with us. The tools are available on our Provider Manual and Additional Resources Web page under 'Directory,' then 'Related Links,' then 'Quick Reference Cards.'

EmblemHealth Injectable Drug Utilization Management Program Begins

A reminder that June 1, 2012, is the start date for EmblemHealth's Injectable Drug Utilization Management Program. ICORE, who will be administering prior approvals for the specified list of medications affected by the program, is offering Webinars to instruct providers on how to obtain prior approvals through their Web site. more

 

ICORE Webinars Continue
ICORE still has openings available for the remaining Webinar on June 4, 2012. The Webinar instructs providers on how to obtain prior approvals for our Injectable Drug Utilization Management Program. The remaining openings are filling quickly, so register by completing the online form.

Provider Advisory Webinar
Our next Provider Advisory Webinar is for new staff -- summer interns and new hires -- to introduce them to EmblemHealth, our Web site and other information they will need to know about us. The Webinar is on Wednesday, June 6, 2012, at 3 pm. You may continue to register until June 4, 2012.

Provider Advisory Forum
Save the Date

We will be hosting an onsite Provider Advisory Forum at 9 am on Friday July 20, 2012, at the EmblemHealth offices in Melville, New York. Invitations will be mailed or e-mailed to local practitioners and providers on Long Island.

Save the Date
The Occupational and Environmental Health Center of Eastern New York is hosting a seminar Is Work Making Your Patients Sick? Preventing, Diagnosing and Treating Occupational Illness on Friday, September 28, 2012, at 8:30 am at the University at Albany School of Public Health in Rensselaer, New York. more

Get Ready for ICD-10

Update Your Information
Please keep your provider information current by going to www.emblemhealth.com.



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Group Health Incorporated (GHI), GHI HMO Select, Inc. (GHI HMO), 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.

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