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Concurrent Review Updates for Select Child and Family Treatment and Support Services (CFTSS)

Posted Jun 30, 2025

Effective September 1, 2025, Healthfirst will implement concurrent review for Psychosocial Rehabilitation (PSR) and Community Psychiatric Supports and Treatment (CPST) services under the Children and Family Treatment and Support Services (CFTSS) benefit.

A printable PDF is available here.

 
What providers need to know:

After the third visit, providers are required to submit the following documents to demonstrate continued medical necessity for PSR and/or CPST services:

  • CFTSS Continuing Authorization Request form
  • Associated treatment plan
Important reminders
  • Failure to submit the required documentation may result in authorization delays or payment interruptions
  • Providers are strongly encouraged to review the full New York State CFTSS policy and documentation requirements
  • For complete details, please see the corresponding FAQ
Questions?

If you have any questions, please contact your Network Account Manager, or call Provider Services at 1-888-801-1660, Monday to Friday, 8:30am-5:30pm.

Coverage is provided by Healthfirst Health Plan, Inc., Healthfirst PHSP, Inc., and/or Healthfirst Insurance Company, Inc. (together, “Healthfirst”).

Released July 2025

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