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Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Reminder (Spanish)

This short note explains recertification to your Healthfirst patients. You can copy and paste the text into your practice’s patient communications such as patient billing statements, paperwork, and more.

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Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Reminder (Chinese)

This short note explains recertification to your Healthfirst patients. You can copy and paste the text into your practice’s patient communications such as patient billing statements, paperwork, and more.

Open document
Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Letter (Spanish)

An easy-to-read letter that explains recertification to your Healthfirst patients. You can copy and paste it into your patient mailings.

Open document
Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Letter (Chinese)

An easy-to-read letter that explains recertification to your Healthfirst patients. You can copy and paste it into your patient mailings.

Open document
Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Email (Spanish)

This email text explains recertification to your Healthfirst patients. You can copy and paste it into your practice’s patient emails.

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Documentation
  
Provider Alerts - Pharmacy Resources & Formularies - Practice Guidelines and Tips - 2023
Obtaining Physician-Administered Drugs through a Specialty Pharmacy

As a Healthfirst provider, you can get Physician-Administered Drugs (PADs) delivered to your office at no cost through White Bagging when the medication is obtained from a Healthfirst in-network specialty pharmacy provider.

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Pharmacy
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2023
Medical Nutrition Therapy Added to the Article 29-I VFCA Health Facilities

In accordance with the approved Medicaid State Plan Amendment: Medical Nutrition Therapy (MNT) has been added to the Article 29-I VFCA Health Facilities (29-I) Other Limited Health Related Services (OLHRS) Fee Schedule. View for more details.

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Billing
  
Provider Alerts - Claims & Billing - Provider Resources - 2023
Pharmacist-Administered Human Papillomavirus (HPV) Vaccine Now Available to Healthfirst Patients Aged 18+

New York law has expanded the types of immunizations licensed pharmacists can administer to patients 18 years or older, including the HPV vaccine.

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Vaccines
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Medicare now covers more family and mental health counseling services

As of January 1, 2024, Medicare covers marriage and family therapy (MFT), mental health counseling (MHC), and intensive outpatient program (IOP) services for all Healthfirst Medicare plans.

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Medicare
  
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.

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Administration
Reimbursement
Medicaid
  
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.

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Authorization
  
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.

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Administration
Reimbursement