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Provider Alerts (General Update) - 2022
COVID-19 Vaccine Counseling Program

In accordance with a recent Medicaid update, Healthfirst will reimburse eligible providers for vaccine counseling rendered to unvaccinated Medicaid and HARP members/enrollees during dates of service on or after December 1, 2021. For providers located in New York City, this coverage essentially replaces the Vaccine Outreach and Counseling Program (VOCP) Healthfirst launched in collaboration with the New York City Department of Mental Hygiene last fall, and which ended on December 31, 2021.
  
COVID-19 Vaccine Counseling Program
Provider Alerts (Policy, Billing, or Coverage Update) - 2022
New York Medicaid Guidance for At-Home COVID-19 Testing Coverage Update

Implementation of adjudication coding for at-home testing coverage for most New York Medicaid Managed Care Plan Sponsors should be completed by January 17, 2022. Providers receiving a reject message (e.g., reject code: 70 - NDC not covered, etc.) on COVID-19 at-home testing claims filled prior to January 17, 2022, should re-submit rejected claims after January 17, 2022.
COVID-19 at-home testing
  
Pharmacy Billing
  
  
New York Medicaid Guidance for At-Home COVID-19 Testing Coverage Update
Provider Alerts (Policy, Billing, or Coverage Update) - 2022
Four Behavioral Health Home and Community Based Services Transitioning to New Community Oriented Recovery and Empowerment Services

To improve access to rehabilitative care, New York State received federal approval to transition four Behavioral Health Home and Community Based Services (BH HCBS) to a new service array called Community Oriented Recovery and Empowerment (CORE) Services starting February 1, 2022.
Mental & Behavioral Health
  
  
Four Behavioral Health Home and Community Based Services Transitioning to New Community Oriented Recovery and Empowerment Services
Provider Alerts (Policy, Billing, or Coverage Update) - 2022
Healthfirst Reimbursement Policy Updates - Effective February 1, 2022

Healthfirst aims to ensure that our reimbursement policy standards are compliant with state and national industry standards. Effective February 1, 2022, several changes will be made to our reimbursement policy to maintain compliance with industry-accepted coding and reimbursement practices, as well as state and national regulatory requirements.
Reimbursement
  
  
Healthfirst Reimbursement Policy Updates - Effective February 1, 2022

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