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Healthfirst Provider Toolkit: Patient Recertification

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This recertification toolkit includes educational resources for your practice and easy-to-use guides to help you inform your patients on how to maintain their access to healthcare.

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Getting Started with Availity Essentials

Availity Essentials is Healthfirst's New Provider Portal

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Starting July 2024, providers will be able to access Healthfirst tools through Availity Essentials, a secure platform that will make your work with us easier.

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What's New

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Important New Posted Jul 25, 2024

Reimbursement Update for electronic consultations (eConsults)

The New York State (NYS) Medicaid fee-for-service (FFS) program will reimburse for eConsults, effective April 1, 2024.

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Important New Posted Jul 23, 2024

Medicare Coverage Billing Guidance for Intensive Outpatient Programs

The Centers for Medicare & Medicaid Services (CMS) added coverage for Intensive Outpatient Program (IOP) services as of Jan. 1, 2024.

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Important New Posted Jul 19, 2024

Prior Authorization Request Enhancements for Select Outpatient Service Authorizations

Learn how to obtain faster authorizations through our Online Authorization Request tool.

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Important New Posted Jul 15, 2024

Newly Added Provider Education Events - Register Today

Together, we can improve patient outcomes. Join us at a provider education workshop, training, or event.

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Posted Jun 25, 2024

Healthfirst Provider Portal Transitioning to Availity Essentials

Availity Essentials™ - Healthfirst’s New Provider Portal Launching July 2024

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Posted Jun 10, 2024

Public Health Emergency (PHE) Flexibilities Related to the Medicaid Children’s Waiver and Health Home Services

The New York State Department of Health (NYSDOH) has issued guidance on Public Health Emergency (PHE) flexibilities...

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Posted Apr 24, 2024

Latest Healthfirst news posted on LinkedIn

Follow Healthfirst on LinkedIn for more.

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Posted Mar 29, 2024

Announcing Essential Plan 200–250

Healthfirst is excited to announce our newest benefit plan, Essential Plan 200–250, launching on April 1, 2024.

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Provider Resources

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Provider Alerts

149 items Modified Jul 23, 2024
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Plans & Benefits

28 items Modified Mar 29, 2024
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Join Our Network

Healthfirst has over one million members and growing. Join thousands of doctors in providing the best possible care to the patients who need you.

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Find a Doctor, Hospital or Pharmacy

We work hard to make it easy for you to get the care you need, when you need it. Search in-network providers, hospitals, pharmacies, and more with this convenient tool.

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Refer Long-Term Care

Provide and coordinates services that are typically covered by Medicaid and Medicare, including the health, social, emotional, nutritional, and rehabilitation services.

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Provider Manuals

These helpful manuals will give you and your staff easy access to the information you need to run your practice and provide quality care to Healthfirst members.

Provider manual SHP manual