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Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2022
COVID-19 Vaccine Additional Doses for Immunocompromised Individuals Pharmacy Billing Guidance

On August 13, 2021, the Advisory Committee on Immunization Practices (ACIP) met and recommended an additional dose for immunocompromised individuals who have received the Pfizer-BioNTech or Moderna COVID-19 vaccine.

Emergency Use Authorization

Pharmacy Billing

COVID-19 Vaccine Additional Doses for Immunocompromised Individuals Pharmacy Billing Guidance

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2021
COVID-19 Testing — Billing Guidance

Healthfirst will cover medically appropriate COVID-19 testing at no cost share during the public health emergency when such testing is ordered by a physician or licensed healthcare professional for the purpose of diagnosis or treatment of COVID-19.

COVID-19

COVID-19 Testing — Billing Guidance

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2021
Coronavirus: Telehealth Policies FAQ

Did you know that providers need to be approved by Healthfirst to continue qualifying for reimbursement of telehealth services? Access our FAQs to learn more.

COVID-19

Coronavirus: Telehealth Policies FAQ

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2021
Coronavirus: Type (COVID-19) — Cost-Sharing Waiver

Please be advised that the New York State Department of Financial Services, the New York State Department of Health, and the federal government have directed Healthfirst to waive patient copayments, coinsurance, and deductibles for certain testing and treatment due to the coronavirus (COVID-19) emergency.

COVID-19

Coronavirus: Type (COVID-19) — Cost-Sharing Waiver

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2021
Billing Guidance for Coronavirus (COVID-19) Vaccine Under Healthfirst’s Plans

Healthfirst is closely monitoring COVID-19 vaccine updates from the state and federal government and from other healthcare agencies. This guidance provides billing information on the administration of the COVID-19 vaccine.

Billing

Billing Guidance for Coronavirus (COVID-19) Vaccine Under Healthfirst’s Plans

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2020
Coronavirus: Telehealth Billing Policies

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COVID-19

Coronavirus: Telehealth Billing Policies

Coronavirus (COVID-19) (Practice Guidelines and Tips) - 2021
The Flu and COVID-19 Frequently Asked Questions

This year’s flu season marks an important event in healthcare due to the Coronavirus (COVID-19) pandemic. It’s now more important than ever to make sure your patients (six months and older) get a flu vaccine. While the flu vaccine will not protect them from COVID-19, it can reduce the risk of flu illness, hospitalization, and death.

Annual Flu Vaccine

The Flu and COVID-19 Frequently Asked Questions

Coronavirus (COVID-19) (Practice Guidelines and Tips) - 2021
Coding Novel Coronavirus: Type COVID-19

This document provides guidance on proper coding practices for a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19). Please note that Healthfirst guidelines related to waiving the cost share for evaluating a member for suspected COVID-19 are not reflected within this coding guidance. Please refer to the Coronavirus (COVID-19) section at hfproviders.org to find information on claims/encounters that will result in the waiver of cost sharing for members.

COVID-19

Clinical Documentation Improvement

Coding Novel Coronavirus: Type COVID-19

Coronavirus (COVID-19) (General Update) - 2021
Bringing Patients Back to Get the Care They Need

Getting care in a timely manner leads to better health outcomes. Outreach your patients/Healthfirst members directly to schedule appointments and prioritize patients who are overdue for a visit or screening/exam.

Patient Resource

Patient Engagement

Bringing Patients Back to Get the Care They Need

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2021
Privileging of Providers to Offer Telehealth Services

Healthfirst has established a policy and application process to enable our network of contracted providers to offer telehealth services to our members to improve access to care and outcomes of care. The policy and application process detailed herein is applicable to all providers and vendors who wish to render telehealth services.

Privileging of Providers to Offer Telehealth Services

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