Posted Feb 26, 2026
Effective June 1, 2026, Integra Partners will manage prior authorization (Utilization Management) for all Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) on behalf of Healthfirst for all plans.
A printable PDF is available here.
Beginning June 1, 2026:
| If you are: | You need to: | Including |
|---|---|---|
| A referring physician who can dispense/supply DMEPOS | Submit your prior authorization requests to Integra Partners through the following methods:
| |
| A referring physician and you or the member has a preferred in-network DMEPOS supplier | Submit your prior authorization requests to the preferred in-network DMEPOS supplier. |
|
| A referring physician and do NOT have a preferred in-network DMEPOS supplier | Identify a preferred in-network supplier BEFORE submitting the prior authorization request. You can do so by:
Once an in-network supplier is identified, you should submit the prior authorization request directly to Integra. NOTE: Authorization requests received by Integra without a DMEPOS supplier identified may result in avoidable adverse decisions. |
|
Providers should:
Healthfirst requires authorization through Integra Partners for the following DMEPOS categories:
For the full code list of applicable services, you may view Integra Partner’s Prior Authorization Code List here.
Who can provide DMEPOS?
Healthfirst has a robust network of DMEPOS suppliers. To locate an in-network supplier, visit Healthfirst Find a Doctor or calling Integra at 1-888-700-4470.
What information do DMEPOS suppliers need?
Prescriptions and supporting clinical documentation must be submitted to an in-network DMEPOS supplier. View Healthfirst clinical guidelines for DMEPOS here.
How will the referring provider be notified about the status of their request?
Providers will be notified of the decision via a provider letter. If they submitted their request directly to Integra Partners via the portal, they can access the portal for a status update. Otherwise, referring providers can contact their DMEPOS supplier directly.
What should I do if a member was approved for DME by Healthfirst with authorized dates of service past June 1, 2026?
A new prior authorization request does not need to be submitted to Integra Partners for any requests with authorized dates of service occurring on or after June 1, 2026, if a prior authorization was previously issued by Healthfirst.
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.
