CAHPS Season is Here!
Review the checklist for CAHPS success
Between February 26 and May 31, a random sample of Healthfirst Medicare Plan members will receive the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.
New Tools in Availity Essentials
Availity Essentials is Healthfirst's New Provider Portal
Access Healthfirst tools through Availity Essentials, our new provider portal designed to help make your work with us easier.
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What's New
View allHelp Off-Exchange Members Renew Their Coverage
New York State will resume standard annual recertification procedures for off-exchange Medicaid, Personal Wellness Plan (HARP), Life Improvement Plan (LIP), CompleteCare (CC), and Senior Health Partners (SHP) members.
View postMedicare Enrollment Guidelines for Medicaid Members with End Stage Renal Disease (ESRD)
The New York State Department of Health requires Medicaid members diagnosed with End Stage Renal Disease (ESRD) to apply for Medicare.
View postPersonalized Recovery Oriented Services (PROS) Redesign
The New York State (NYS) Office of Mental Health (OMH) is launching a redesign of the Personalized Recovery Oriented Services (PROS) program, effective April 1, 2025.
View postUpdated Coverage and Reimbursement for Adverse Childhood Experiences (ACEs) Screenings for Medicaid Members
ACEs screenings conducted in primary settings has been expanded to cover one lifetime screening for Medicaid members between 21 to 65 years of age. Children and adolescents up to 21 years of age continue to receive coverage for annual ACEs screenings as appropriate and medically necessary.
View postPrior Authorization No Longer Required for Select Evicore Codes Starting April 2025
Providers will no longer need to submit prior authorization requests to Evicore for select codes.
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