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Education Events & Patient Care Resources - Video - 2025
Provider Education Events - Recorded Video Sessions

Browse our previously recorded webinars and training sessions.

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Provider Events
  
Education Events & Patient Care Resources - Provider Resources - 2026
Provider Education Events

See our calendar of provider education events and register today.

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Provider Events
  
Provider Alerts - Behavioral Health and Foster Care - Practice Guidelines and Tips - 2026
Clinical Document Submission for Healthfirst Personal Wellness Plan

Frequently asked questions related to the submission of clinical documents by Behavioral Health providers for HARP/PWP members.

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Administration
Healthfirst Plans
Authorization
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-169 Medical Dental and Oral Health Coverage

Healthfirst recognizes that certain dental services are medically necessary and eligible for reimbursement when covered under a member’s medical benefit in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines and applicable state and federal regulations.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-165 Outpatient Facility and Professional Claim Reimbursement – Lesser-of Methodology

This policy outlines Healthfirst’s standard reimbursement methodology for outpatient facilities and professional claims.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-115 Digital Mental Health Treatment (DMHT) Device

A Digital Mental Health Treatment (DMHT) device is a device similar to a mobile device that allows billing practitioners to provide behavioral health services in conjunction with ongoing behavioral health care treatment.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-094 Avoidable Readmission

Healthfirst's Avoidable Readmission reimbursement policy is designed to reduce avoidable readmissions and improve quality of care.

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Reimbursement Policy
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Annual Wellness Visits, Initial Preventive Physical Examinations, and Problem Oriented Visit

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for distinguishing between Annual Wellness Visits (AWV), Initial Preventive Physical Examinations (IPPE), and Problem Oriented Visit.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Cerebral Palsy

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection on services submitted to Healthfirst—specifically for Cerebral Palsy.

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Clinical Documentation Improvement
  
Documentation & Coding - Video - 2026
Video - Documentation and Coding of Anorexia Nervosa and Bulimia Nervosa

This video offers guidance on proper clinical documentation and coding of Anorexia Nervosa and Bulimia Nervosa.

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Clinical Documentation Improvement
Video
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-128 Part B Custodial Services-Skilled Therapy and Vaccine Services

This policy outlines the guidelines for the reimbursement of Skilled Therapy and Vaccine services provided under Medicare Part B for custodial Healthfirst Medicare members.

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Reimbursement Policy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2026
Reimbursement Policy: PO-RE-127 Canalith Repositioning Procedure

Healthfirst adheres to the Centers for Medicare & Medicaid Services (CMS) guidelines for Canalith Repositioning Procedures. This policy outlines the reimbursement criteria and procedure for the CPT code 95992, which is designated for the therapeutic management of benign paroxysmal positional vertigo (BPPV).

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Reimbursement Policy
  
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