Access to Care and Appointment Availability (ACAA) and Online Provider Directory (OPD) Provider Toolkit

Posted Sep 22, 2026

Help your practice stay prepared and support members’ access to care.

  • Healthfirst’s Access to Care and Appointment Availability (ACAA) and Online Provider Directory (OPD) Provider Toolkit is intended to support practices in improving the member experience when accessing healthcare while also meeting applicable access, availability, and provider directory requirements.
  • These resources are designed to help practices prepare for internal and external audits that assess compliance with New York State ACAA and CMS Provider Directory standards.
 

2026 Internal Audit Schedule

Know what to expect and when.

Healthfirst conducts routine internal audits to assess:

  • Access to Care and Appointment Availability (ACAA) – provider appointment availability, office wait times, and 24-hour access and coverage
  • Online Provider Directory (OPD) – to ensure accuracy of our provider directory information

→ View the 2026 Internal Audit Schedule

Access to Care and Appointment Availability (ACAA) Resources

Help your practice meet New York State access and availability requirements.

All participating providers are expected to provide care for their Healthfirst members within New York State ACAA guidelines.

Provider Resource Link
ACAA Audit Frequently Asked Questions View
ACAA Quick Reference Guide View
ACAA After-Hours Voicemail Script View
Front Office Staff Script View
Insurance Verification Tool View
Office Manager Training Guide View
Train your staff

Use our prerecorded webinar to help front office staff understand ACAA audit requirements.

→ ACAA prerecorded webinar

→ ACAA webinar presentation deck

Healthfirst Online Provider Directory (OPD) Resources

Keep your practice information accurate and up to date.

Accurate provider information helps members find and access in-network care, keeps directories current, and supports timely, accurate payment for your services.

Review Healthfirst's provider directory verification requirements and learn what your practice can do to keep its information current.

→ Online Provider Directory Verification: Keeping Your Data Current

Additional Resources

Healthfirst Find a Doctor tool
  • Search for Health Care Provider, Pharmacy, or Urgent Care Location
  • Your data will be automatically updated in our provider directory

→ Use Find a Doctor


Healthfirst Plans at a Glance
  • See an overview of our Medicaid, Medicare, and Commercial plan offerings

→ Healthfirst Plans at a Glance

→ Healthfirst Plans & Benefits