Essential Plan 200-250 Coverage to End July 1, 2026
How You Can Prepare and Support Your Patients
The New York State Essential Plan coverage for individuals with incomes between 200% and 250% of the Federal Poverty Level will end effective July 1, 2026.
Provider Updates for June 2026
Stay ahead of important changes that may impact your practice
Review updates to prior authorization, reimbursement policies, provider manual changes, and more—all in one place.
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What's New
View allHealthfirst’s Obstetric Billing Guidelines Reimbursement Policy
Healthfirst updated its Obstetric Billing Guidelines reimbursement policy to incorporate updated national coding standards and New York State (NYS) Medicaid billing guidance for maternity care.
View postMedicare GLP-1 Bridge Program Begins July 1, 2026
The Medicare GLP-1 Bridge is a short-term demonstration run by CMS that will provide eligible Medicare Part D beneficiaries with access to certain GLP-1 drugs beginning July 1, 2026 through December 31, 2027.
View postNYS Medicaid Breast Cancer Selective Program Reimbursement Policy
In alignment with New York State (NYS) Medicaid guidelines, provider eligibility and claim reimbursement for breast cancer surgical procedures must be performed at approved (contracted) facilities.
View postHealthfirst’s Medical, Dental, and Oral Health Coverage Reimbursement Policy
Healthfirst updated its reimbursement policy for dental services covered under the medical benefit when medically necessary to a covered medical condition or procedure.
View postProvider Updates for June 2026
Learn more about key updates providers should know.
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