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 July 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 postDocumentation & Coding Refresh for July 2026
Take a mid-year moment to refresh your documentation and coding knowledge.
View postPrior Authorization Required for Newly Released Codes Starting July 1, 2026
Codes newly released by the American Medical Association will include prior authorization requirements starting July 1, 2026.
View postPrior Authorization Required for Select Codes Starting October 1, 2026
Effective October 1, 2026, Healthfirst will require prior authorization for select medical services.
View postProvider Updates for July 2026
Learn more about key updates providers should know.
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