Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and our members against contagious illnesses. You can also visit bcbs.com to find resources for other states. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. These services are voluntary and provided through your Medicaid benefit at no cost to you. Just bring your health insurance card along with a photo ID when you go. You do not need to see your primary care provider (PCP) before getting behavioral health services. MLTC | Medicaid Empire Here are some resources to help. Welcome to Empire BlueCross BlueShield HealthPlus Managed Long Term Care Plan. Dont have an online account? Our team is available 24 hours a day and can: Sydney Health is now your mobile app. HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Medicaid-Approved Preferred Drug List (PDL), Prior Authorization Lookup Tool Online for Empire. Starting September 1, 2022, you will need to use a prescriber and pharmacy that is enrolled with Medicaid Fee for Service. 2021 copyright of Anthem Insurance Companies, Inc. Individuals & Family Plans (under age 65): 1-844-305-6963 Medicare Supplement and Medicare Advantage Plans: 1-855-731-1090 (TTY/TDD: 711) please call us 8:00am - 8:00pm 7 days a week except Thanksgiving and Christmas Employers Plans: Contact your broker or consultant to learn more about Empire plans. Prior authorization contact information for Empire. For low-income adults, pregnant women and children, For children under age 19 who are not eligible for Medicaid and dont have health benefits, For adults age 19-64 who are not eligible for Medicaid, CHPlus or minimum essential coverage, For adults age 18 or older who are eligible for Medicaid and have a chronic illness or disability requiring long-term services and supports, For adults age 21 or older who have Medicaid and have been diagnosed with a serious mental illness or substance abuse disorder, For adults 18 or older who are eligible for Medicaid and Medicare and have a chronic illness or disability requiring long-term services and supports. Were available to talk in person at any one of our. Empire Blue Cross Blue Shield (BCBS) Health Plus - Hospitals If you have questions about this communication or need assistance with any other item, contact your local Provider Experience representative or call Provider Services at 800-450-8753. Interested in joining our provider network? The enrollee receives both Medicaid and Medicare services from one plan. Contact Us | NY Provider - Empire Blue Cross Send us a secure message. You can also visit bcbs.com to find resources for other states. Be prepared with the knowledge to assist our members. We currently don't offer resources in your area, but you can select an option below to see information for that state. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and patients against contagious illnesses. Get translation and interpretation services free of charge. Provider manuals, policies & guidelines - Empire Blue We routinely update Medical Policies and Clinical UM Guidelines as part of the review process. 2021 copyright of Anthem Insurance Companies, Inc. Log in to your account and send us a message. Access resources to help health care professionals do what they do bestcare for our members. Your browser is not supported. Resources that help healthcare professionals do what they do best care for our members. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Video chat with a doctor 24/7 from your smartphone, tablet or computer at no cost to you. Were always looking for ways to improve your plan. The benefit package includes primary, acute and long term care services. If your state isn't listed, check out bcbs.com to find coverage in your area. Get translation and interpretation services free of charge. The Availity Portal* offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Healthplus medicaid prior authorization number, Health (1 days ago) WebPhone: 1-800-450-8753 Prior authorization fax (medical): Fax: 1-800-964-3627 Behavioral health inpatient precertification fax: Fax: 1-877-434-7578 Behavioral health outpatient precertification fax: Fax: 1-866-877-5229 Retail pharmacy fax: Fax: 1-844-490-4877 , Category: Medical, Pharmacy Detail Health, Health (7 days ago) WebMLTC plans provide services and support to people that have a long term health problem or disability for more than 120 days. Medicaid, CHPlus, Essential Plan and HARP: 1-800-300-8181 (TTY 711) The Category Search is arranged by topic. We work with hundreds of doctors and facilities to make getting care easy. Please update your browser if the service fails to run our website. Contact Us NY Provider - Empire Blue Cross. Managed Long-Term Care (MLTC): Call 1-855-661-0002. * CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan. Phone: 1-800-450-8753; Hours: Monday to Friday 8:30 a.m. to 5:30 p.m. Fax: 1-800-964-3627; Empire Pharmacy Department Didnt find what youre looking for? Get help with mental health or substance use issues any time day or night.. At Empire, you will have a dedicated team of nurses and social workers who will ensure that your care and services help you live as independently as possible.. We currently don't offer resources in your area, but you can select an option below to see information for that state. Healthplus Customer Service - health-mental.org Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. Youll get your Medicaid home care and long-term care services, plus your Medicare services, such as doctor visits, specialists and medicines from the plan. Keep current with articles on claim filing, products, benefits, administrative updates, new or revised procedures and guidelines, prescription information and more. MLTC plans provide services and support to people that have a long term health problem or disability for more than 120 days. List Your Practice; Find Doctors and Dentists Near You . NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. Thats why you can always call our 24/7 NurseLine and speak directly to a nurse. Amerigroup P.O. Medicare Advantage and Duals Provider Site. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. Effective September 1, 2022, Empire BlueCross BlueShield HealthPlus members must use providers (e.g., pharmacies, providers, and specialists) enrolled with the NYS Medicaid program. Empire is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. We look forward to working with you to provide quality service for our members. At Empire BlueCross BlueShield HealthPlus (Empire), we value you as a provider in our network. This provider is an insurance plan that provides a Medicaid Managed Long Term Care (MLTC) product called a Medicare Advantage plan (MAP). Our Member Services team is here to help. Our resources vary by state. Send us a secure message, Find out if youre eligible for one of our plans, Jennifer Zoe Kuhn, Manager, Chairperson, President and Chief Executive Officer, Vincent Edward Scher, Assistant Treasurer. Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. New York State, Telephone: Medicaid, Child Health Plus or Essential Plan: Call 1-888-809-8009 (TTY 711) Are expected to need at least one (1) of the following community based long-term care services for more than 120 continuous days from the effective date of enrollment: Consumer Directed Personal Assistance Services, Hear whats happening in the MLTC Community. Find a Doctor; Getting Care 24/7; . Vision benefits are provided through Superior Vision. NYC Health + Hospitals/Harlem. As of January 1, 2020, you can receive Essential Plan coverage from Empire BlueCross BlueShield HealthPlus in these eight counties: Live in one of these locations? We work Monday- Friday (8:00 AM EST - 4:00 PM EST) 207 Park Lawn , Health (7 days ago) WebGet convenient online service through the ProviderPortal, or call AIM Specialty Health for support at 800-554-0580. Get Medical Policies, Clinical Utilization Management (UM) Guidelines, Provider Manuals and Pre-Certification/Pre-Authorization Requirements any time you need them. Its easy to make one just register at the login screen. Contact Us | Empire Phone: 1-800-450-8753 Prior authorization fax (medical): Fax: 1-800-964-3627 Behavioral health inpatient precertification fax: Fax: 1-877-434-7578 Empire recommends that children get their flu shot at their doctors office. Home | Medicaid Empire Providers | Tools, Resources & More | EmpireBlue.com Please update your browser if the service fails to run our website. North American Partners In Anesthesia in Oceanside, NY - WebMD Give your health the best shot this flu season.Find a plan pharmacynear you. Learn more about behavioral health resources. Medicare Advantage and Duals Provider Site. Prior-Authorization And Pre-Authorization | EmpireBlue.com The resources for our providers may differ between states. Provider manuals and quick reference guides Get the mobile app. Already a member? Empire BlueCross BlueShield HealthPlus (Empire) is available via phone or the Interactive Care Reviewer (ICR) 24 hours a day, 7 days a week to accept prior authorization (PA) requests. Sydney Health is now your mobile app. Thats why weve partnered with many providers in your area. Pharmacy services billed with the following revenue codes always require prior authorization: Behavioral health services billed with the following revenue codes ALWAYS require prior authorization: Services billed with the following revenue codes alwaysrequire prior authorization: We look forward to working with you to provide quality services to our members. Once youve found one you want, write down or copy their name so you can enter it into the Change your PCP tool. Log in to your account and send us a message. Empire is available by phone or the Interactive Care Reviewer (ICR) via Availity 24 hours a day, 7 days a week to accept prior authorization (PA) requests. If your state isn't listed, check out bcbs.com to find coverage in your area. Our Interactive Care Reviewer (ICR) tool via Availity is the preferred method for submitting prior authorization requests, offering a streamlined and efficient experience for providers requesting inpatient and outpatient medical or behavioral health services for our members.