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Coronavirus (COVID-19) (Practice Guidelines and Tips) - 2021
Healthfirst Utilization Management

On December 23, 2020, the New York Department of Financial Services (DFS) issued Insurance Circular Letter No. 17, Coronavirus and the Suspension of Certain Utilization Review and Notification Requirements under the “Surge and Flex” Protocol. Access this document to learn about what Healthfirst is doing in response to this protocol and for more information.

Utilization Review

  

Skilled Nursing Facility

  

Behavioral Health

  

  

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2020
2020–2021 Seasonal Influenza Vaccine Codes

Based on the August 2020 guidance from the Centers for Disease Control and Prevention (CDC), the enclosed CPT influenza vaccine codes reflect updates to the 2019–2020 recommendations on the use of seasonal influenza vaccines in the United States from the Advisory Committee on Immunization Practices (ACIP).

Annual Flu Vaccine

  

Claims

  

  

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2020
Coronavirus: Billing Guidance to Pharmacies for Testing

Per Governor Cuomo’s Executive Order #202.24, during the declared disaster emergency pharmacies may bill for FDA-approved or cleared COVID-19 tests or COVID-19 tests that have been authorized by the FDA under Emergency Use Authorization (EUA) under Healthfirst’s Medicaid Managed Care plan and Personal Wellness Plan. Learn more here.

COVID-19

  

Pharmacy Billing

  

Claims

  

Billing

  

Medicaid Managed Care

  

Personal Wellness Plan

  

  

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) -
Coronavirus: Type (COVID-19) Coverage for Mental Health Services for Essential Workers

The New York State Department of Financial Services (DFS) has directed health insurance plans to waive cost-share for essential workers for in-network outpatient mental health services provided by mental health providers due to the coronavirus (COVID-19) emergency. Click on the resource to learn more.

Mental & Behavioral Health

  

COVID-19

  

  

Coronavirus (COVID-19) (Policy, Billing, or Coverage Update) - 2020
Coronavirus: Claims System Notice for Telehealth Billing

Click view details.

COVID-19

  

  

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

  

Telehealth

  

  

Coronavirus (COVID-19) (Patient Resource) - 2020
Tips from NYU: Patient Safety for COVID-19

NYU's response to patient safety during COVID-19

COVID-19

  

Annual Flu Vaccine

  

  

Coronavirus (COVID-19) (Practice Guidelines and Tips) - 2020
Tips from Montefiore on COVID-19 Patient Safety

Considerations for patient safety as it relates to COVID-19

COVID-19

  

Annual Flu Vaccine

  

  

Coronavirus (COVID-19) (Practice Guidelines and Tips) - 2020
CDC: Prepare your practice for COVID-19

CDC’s Prepare to Care for COVID-19 is a resource with practical tools clinicians can use to care for patients with COVID-19, and will be regularly updated to help clinicians adapt as the outbreak unfolds. Annual flu vaccine tips included.

COVID-19

  

Annual Flu Vaccine

  

  

Coronavirus (COVID-19) (Patient Resource) - 2020
CDC Guidance for Patients: Doctor Visits and Getting Medicines

CDC tips on how patients can stay safe during COVID-19 when visiting their providers

COVID-19

  

Annual Flu Vaccine