Empire Plan
Please click on the links below to view information specific to the Empire Plan provider network.
News
Stay informed on important ValueOptions Empire Plan administrative changes and clinical updates via e-mail. Click on empire.qualitymgmt@valueoptions.com to be added to our e-mail database. Just type subscribe in the subject line and indicate your licensure.
- ValueOptions Helps Promote Mental Health Education in the New York City Metropolitan Area
- Important updates and reminders about the Outpatient Mental Health authorization process for the Empire Plan Service Center (PDF)
Effective February 1, 2006, for commercial/HMO insurance, New York State Empire Plan will begin reimbursing the member for secondary co-payments. Questions may be directed to Empire Provider Relations at 1-800-235-3149.
- Alternate Identification Numbers Issued For Empire Plan Enrollees (PDF)
Administration
- Empire Plan Provider Guide (PDF)
- Empire Revenue Code Guide (PDF)
- Empire Plan Commonly Asked Questions (PDF)
- Understanding your GHI/Empire Plan Explanation of Benefits (EOB)
Forms
- Coordination of Benefits Form (PDF)
- Dependent Student Status Questionnaire (PDF)
- GHI Agreement for Electronic Claims Submission (PDF)
- GHI Electronic Claims Clearinghouses (PDF)
- Managed Care Reference Sheet (Word)