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Provider Alerts - Plans & Benefits - Policy, Billing, or Coverage Update - 2023
Important: Recertifications are Resuming in 2023

New York State will resume eligibility reviews and renewals for members of with a recertification date after June 2023. If your patients do not renew on time, they risk losing health coverage and could face unexpected costs or even a gap in care. This Provider Alert contains instructions on how members can renew their coverage...

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Recertification
  
Provider Alerts - Behavioral Health and Foster Care - Plans & Benefits - Practice Guidelines and Tips - 2023
FAQ: Health and Recovery Plans (HARP) and Healthfirst’s Personal Wellness Plan (PWP)

See answers to frequently asked questions about Health and Recovery Plans and Healthfirst’s Personal Wellness Plan.

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HARP Health And Recovery Plan
  
Plans & Benefits - Policy, Billing, or Coverage Update - 2021
Medical Necessity Form (MNF) Form FAQs

Effective May 1, 2021, providers must fill out a Medical Necessity Form (MNF) to schedule Advanced Life Support (ALS) or Basic Life Support (BLS) non-emergent transportation for Healthfirst members to any provider approved by the Centers for Medicare & Medicaid Services (CMS). Here are some frequently asked questions.

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Medicare