Posted in In The Know Series, Insurance, My services, Uncategorized

Emblem Health and Prior authorizations for injectable drugs- updated 2019

According to EmblemHealth- effective 01/01/2019- “Magellan Health Inc will no longer provide utilization management for injectable drugs”.

Until further notice the prior authorization requests will be sent over to EmblemHealth DIRECTLY either via web: https://emblem.promptpa.com or via fax: 877-243-4812 or via phone: 888-447-0295

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Do you qualify for NY Medicaid EHR incentive program?

According to the NY Medicaid EHR Incentive program the following are the prerequisites for Medicaid EHR Incentive Program attestation, for eligible Physicians (EP’s)

  1. If your office at least utilizes 2014 CEHRT  technology
  2. If your Patient volume of Medicaid recipients is at least 30% (20% for Pediatricians)
  3. If you are tracking your Meaningful use activity- 2016 clinical quality data Objective and Measures (MU2/MU4)
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Please take note:

Please take note as of 09/01/2017: KR2 Medical Billing website with a weebly.com address is no longer active. All of the information has been combined and is available on my kr2billing.wordpress.com website/blog.

If you have any other questions please feel free to contact me. Thank you!