Education & News
In the rapidly transforming world of healthcare, VNSNY CHOICE understands how important it is for you to stay up to date on changes that affect you, your practice, and your patients. Below are notices, recommendations, and updates that can help you keep track of changing standards and regulations. Check back regularly for new postings.
Opioid Safety Edits Reminder for CHOICE Total Prescribers
On January 1, 2019 an important change was implemented that may continue to affect your patients. In order to prevent prescription drug abuse and improve the safety of prescription medications, CMS (Centers for Medicare and Medicaid Services), requires all Part D plans to follow opioid safety edits and a Drug Management Program. Recently, VNSNY CHOICE sent a letter to all in-network CHOICE Total prescribers to help keep you informed about what you need to know. You can also find more information about these requirements on our Opioid Safety Edits page.
SelectHealth Genentech Prescriber Billing Codes
- Avastin (bevacizumab) Prescriber Billing
- Herceptin (trastuzumab) Prescriber Billing
- Perjeta (pertuzumab) Prescriber Billing
- Xolair (omalizumab) Prescriber Billing
Important Benefit Change for VNSNY CHOICE SelectHealth Members
Starting October 1, 2019, VNSNY CHOICE SelectHealth covers medically necessary ovulation enhancing drugs and the medical services related to prescribing drugs for infertility. Please read the VNSNY CHOICE SelectHealth Member Handbook Infertility Services insert for more information.
Opioid Analgesics Coverage with VNSNY CHOICE SelectHealth
Effective October 1, 2016, Opioid Analgesics are subject to certain quantity limits. Read the CHOICE SelectHealth Provider News Update.
CHOICE Medications Adherence Tip Sheet
VNSNY CHOICE knows the importance of medication adherence. This Medication Adherence tip sheet is a very useful tool that will make it easy for providers to help CHOICE members take the right meds at the right time — no matter how complex their medication regimens. In addition, the tip sheet will help empower members and caregivers to easily see what medications to take and when to take them. Read the CHOICE Medications Adherence Tip Sheet.
Medicaid Fee for Service (FFS) Mosquito Repellent Coverage
NYS FFS Medicaid will provide coverage for mosquito repellent when prescribed to enrollees who intend to travel to, or return from a Centers of Disease Control (CDC) recognized area of localized Zika transmission. Read the Department of Health notice for more information.
The ICD-10 FAQ document is intended to provide a general overview of what can be expected with the transition from ICD-9 to ICD-10 as it impacts VNSNY CHOICE providers. Read the ICD-10 FAQ document.
JNC8: Recommendations: Changes in Diagnosis and Treatment of Hypertension
Hypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. The Eighth Joint National Committee (JNC8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertension in adults. Read JNC8 Recommendations: Changes in Diagnosis and Treatment of Hypertension.