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Blue Bulletin

BlueShield of Northeastern NY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • Individual Provider Recontracting Initiative

    June 26, 2020

    We will be amending and restating our existing contracts. Starting next month, all directly contracted individual providers will be sent an updated contract. The New York State Department of Health (DOH) requires that each provider sign and return their amended/restated contract.
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  • New Digital Provider and Facility Reference Manual

    June 26, 2020

    We’ve upgraded our Provider and Facility Reference Manual, which is now available in digital format. The new manual offers a better, more interactive user experience. Here, we highlight some of the new features.
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  • Updates to Screening for Hepatitis C Virus (HCV) in Adults

    June 26, 2020

    Hepatitis C virus (HCV) is reportedly the most common blood infection in the country. The U.S. Preventive Services Task Force has updated the recommendation for HCV screening in March 2020 to now include all adults ages 18 to 79 without known liver disease, regardless of their risk for infection.
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  • Update to Spine Preauthorization Process

    June 26, 2020

    To help streamline the preauthorization process for spine procedures and injections, all these requests will be submitted directly to our Utilization Management Department beginning October 1, 2020. We will no longer require any requests to be submitted through Palladian Health.
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  • Care at Home Expanded for Medicare Advantage Patients

    June 26, 2020

    Beginning on July 7, more Medicare Advantage patients will be eligible to enroll in a new extension of the Care at Home program -- Care at Home℠ On Call -- which offers some urgent care in-home services. Care at Home On Call will be offered to newly enrolled Medicare Advantage members.
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  • Q2 2020 Updated Drug Therapy Guidelines and Medical Protocols Available Online

    June 26, 2020

    More than 120 drug therapy guidelines were recently added or updated with a committee of local physicians, other prescribers, and pharmacists. Changes to existing Drug Therapy Guidelines will be posted on our website by July 1 and will be effective August 1. We recently reviewed 54 medical protocols. These will be posted online on or before July 1, 2020 and will have an effective date of August 1, 2020, unless otherwise noted.
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  • Davis Vision Chosen as Routine Vision Partner

    June 18, 2020

    Davis Vision has been chosen to serve as our partner for routine vision, glasses and contacts beginning January 1, 2021 for BlueShield Commercial and Medicare Advantage patients. Because EyeMed will no longer be our Medicare Advantage vision partner beginning on January 1, we encourage you to join the Davis Vision provider network so you may continue to serve your BlueShield Medicare Advantage patients.
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  • Addressing Social Determinants of Health During COVID-19

    May 21, 2020

    The COVID-19 pandemic is likely to further stress the social determinants of health (SDOH) that already affect the overall health and well-being of some of your patients. Here, we discuss how you can refer your BlueShield patients in need into our care management program.
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  • REMINDER: Medical Preauthorization Requirements to Resume After June 18

    May 21, 2020

    We want to remind you that all temporarily suspended preauthorization requirements will be back in effect after June 18, 2020.
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  • Integrating Postpartum Depression Screening at Child Well Visits

    May 21, 2020

    As the COVID-19 pandemic continues, the changes associated with a new baby may be especially overwhelming for some of your patients. The AAP recommends that screening for postpartum depression (PPD) be conducted at child well visits every month for the first 6 months postpartum. Find out how your practice can integrate PPD screenings at child well visits.
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