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Provider Alerts - Practice Guidelines and Tips - 2025
Concurrent Review Updates for Select Child and Family Treatment and Support Services (CFTSS)

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.

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Provider Alerts - Practice Guidelines and Tips - 2025
FAQ for Concurrent Review Updates for Select Child and Family Treatment and Support Services (CFTSS)

Answers to frequently asked questions (FAQs) regarding Healthfirst implementation of 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, effective September 1, 2025.

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Reimbursement
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Provider Alerts - Pharmacy Resources & Formularies - Claims & Billing - Policy, Billing, or Coverage Update - 2025
New Physician Dispenser Policy

New York State Department of Health has requested that Healthfirst notify practitioners of this change and inform them that they will need to bill claims through the Medical benefit after September 1, 2022, to be reimbursed.

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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Panel 1

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Panel 2

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Panel 3

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Panel 4

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
Eighth Annual World Health Continuing Medical Education Conference, Agenda and Faculty Bios

Health Disparities Impacting Global and Local Populations (June 6, 2025)

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Provider Events
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
2025 Medicare Physician Fee Schedule Final Rule

Effective Jan 1, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Physician Fee Schedule Final Rule with key updates impacting Preventive Services for Medicare members.

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Reimbursement
Healthfirst Plans
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Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Requirements for Drugs, Supplies, and Procedures for Sexual Dysfunction or Erectile Dysfunction

In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED).

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Reimbursement
Healthfirst Plans
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Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2025
Prior Authorization Guidelines for Select Remote Patient and Remote Therapeutic Monitoring Services

Prior Authorization Guidelines for Select Remote Patient (RPM) and Remote Therapeutic Monitoring (RTM) Services Effective September 1, 2025

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Reimbursement
Healthfirst Plans
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Education Events & Patient Care Resources - Practice Guidelines and Tips - 2025
OIG Targeted High Risk Condition Series Session 1

OIG Targeted High Risk Condition Series Session 1: Heart Failure, Chronic Kidney Disease (CKD), Hypertension (HTN) (February 6, 2025)

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