HF Logo HF Logo
Provider Home / Provider Alerts
Resource Type
Clear All
Filter
Year
Sort By
Showing 1-12 of 127
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Reimbursement Update for eConsults

The New York State Medicaid fee-for-service program will reimburse for electronic consultations (eConsults) for select plans.

Open external link
Administration
Reimbursement
Medicaid
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Medicare Coverage Billing Guidance for Intensive Outpatient Programs

As of Jan. 1, 2024, Medicare now covers Intensive Outpatient Services. Learn more about the program and billing requirements here.

Open external link
Behavioral Health and Mental Health
Reimbursement
Medicare
  
Provider Alerts - Practice Guidelines and Tips - 2024
Prior Authorization Request Enhancements for Select Outpatient Service Authorizations

Select Outpatient Services may be eligible for immediate prior authorization approval. Learn how to obtain faster authorizations through our Online Authorization Request tool.

Open external link
Authorization
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
New York State Medicaid Guidance for Billing Respiratory Syncytial Virus (RSV) Vaccines

As of Oct. 1, 2023, New York State (NYS) Medicaid began reimbursing NYS Medicaid-enrolled providers for administration or dispensing of Respiratory Syncytial Virus (RSV) vaccines for adults and for the administration of nirsevimab for infants.

Open external link
Billing
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Provider Fee Schedule Corrections

Healthfirst is conducting a routine review and alignment of provider contracts with our system configuration.

Open external link
Administration
Reimbursement
  
Provider Alerts - Practice Guidelines and Tips - 2024
Availity Essentials™: Healthfirst’s New Provider Portal Launching July 2024

We are excited to announce that Healthfirst is transitioning to Availity Essentials as our new secure provider portal platform. This transition represents our commitment to continually improving our services and enhancing your overall experience with Healthfirst.

Open external link
Administration
  
Provider Alerts - Practice Guidelines and Tips - 2024
Availity Essentials™: Provider Portal Transition FAQ

Starting July 2024, Healthfirst will begin launching our new Provider Portal through Availity Essentials. To ensure a smooth transition, we will continue to update our Frequently Asked Questions (FAQ) document to help you understand how this change will affect you and your practice.

Open external link
Administration
  
Provider Alerts - Provider Resources - 2024
Public Health Emergency (PHE) Flexibilities Related to the Medicaid Children’s Waiver and Health Home Services

The New York State Department of Health (NYSDOH) has issued guidance on Public Health Emergency (PHE) flexibilities. This includes important end dates for these flexibilities that providers you should be aware of. Although many emergency flexibilities expired with the official end of the COVID-19 PHE, others have an end date specified by New York State or a maximum period set by the federal government. Find details on all PHE flexibilities here...

Open external link
COVID-19
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Updates on Coverage of Community Health Worker Services

Effective Oct. 1, 2023, Healthfirst will reimburse Community Health Worker (CHW) services for pregnant and postpartum people as a preventive medical service when billed under a Medicaid-enrolled supervising licensed provider. Medicaid, HARP, and Connection Plan members are eligible for CHW services during pregnancy and up to 12 months after the end of pregnancy, regardless of how the pregnancy ends. See the provider alert for additional updates.

Open external link
Billing
Reimbursement
  
Provider Alerts - General Update - 2024
Healthfirst Availity Clearinghouse Update

Review our Frequently Asked Questions (FAQ) resource dedicated to the Availity Clearinghouse release on March 1st, 2024. We recognize that navigating through new processes and procedures can pose challenges, which is why we've curated this comprehensive list of frequently asked questions to provide you with assistance.

Open document
Availity
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Reimbursement for Adverse Childhood Experiences (ACEs) Screenings

Adverse Childhood Experiences (ACEs) screenings conducted in primary care settings for children and adolescents up to 21 years old are now reimbursable for New York State (NYS) Medicaid fee-for-service (FFS). This change took effect Jan. 1, 2024. Effective April 1, 2024, Healthfirst will reimburse providers who meet the criteria for ACEs screening.

Open external link
Administration
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Qualified Dietitians/Nutritionists Can Now Enroll and Bill Directly for Medical Nutritional Therapy

As of Jan. 1, 2024, qualified dietitians/nutritionists are allowed to enroll and bill directly for medically necessary Medical Nutritional Therapy (MNT) provided to eligible members for the following Healthfirst lines of business: Medicaid Managed Care, Personal Wellness Plan, Senior Health Partners Managed Long-Term Care Medicaid Plan, and Healthfirst CompleteCare (HMO D-SNP).

Open external link
Administration
  
You are now navigating away from the Healthfirst website.

Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.