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 allPersonalized 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.
View postPhysician Order Documentation Process for Licensed Home Care Service Agencies
Licensed Home Care Service Agencies are required to obtain and document a physician order before providing personal care services and private duty nursing to Senior Health Partner, CompleteCare, and Medicaid Members.
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