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Get all the tools you need to manage your practice and deliver excellent service to Healthfirst patients

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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Availity Essentials Update

Availity Essentials is Healthfirst's New Provider Portal

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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

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Important New Posted Nov 29, 2024

Diabetes Cost-Sharing Reduction for Essential Plan, Leaf Plan, and Leaf Premier Plan Members

Starting January 1, 2025, New York State of Health is implementing a Diabetes Cost-Sharing Reduction initiative to make services more accessible and affordable. Learn more about these cost-sharing reductions in this Provider Alert...

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Important New Posted Nov 25, 2024

Changes to Claims Submissions for Prenatal and Postpartum Services

To understand the timing and delivery of perinatal services, the New York State Department of Health is requiring changes to claims submissions for perinatal services for Medicaid, Personal Wellness Plans (HARP), Medicaid Advantage Plans, and Connection Plan lines of business.

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Posted Nov 20, 2024

Provider Education Events - new session recordings posted

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

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Posted Nov 01, 2024

Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

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Posted Oct 31, 2024

Prior Authorization No Longer Required for Antiretroviral Prescription Medications

Healthfirst has removed prior authorization requirements from all antiretroviral medications prescribed for the treatment or prevention of Human Immunodeficiency Virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS) for all Healthfirst plans.

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Posted Oct 23, 2024

Crisis Residence and Mobile Crisis Services Now Covered for Healthfirst Essential Plan, Leaf, and Leaf Premier Members

Starting January 1, 2025, Healthfirst will cover Crisis Residence Services and Mobile Crisis Services for our Essential Plan (EP), Leaf & Leaf Premier Plan members (also known as our Qualified Health Plans).

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Provider Resources

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Provider Alerts

166 items Modified Nov 29, 2024
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Plans & Benefits

28 items Modified Mar 01, 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.

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