HF Logo HF Logo
Provider Home

Search

Resource Type
Clear All
Filter
Year
Sort By
Showing 325-336 of 641
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Day 2: Sixth Annual World Health Continuing Medical Education Conference

(Day 2 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panel 4: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panel 4 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panels 2-3: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panels 2-3 booklet) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

Open document
Provider Events
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Day 1, panels 1: Sixth Annual World Health Continuing Medical Education Conference

(Day 1, panels 1) The theme for the June 16-17, 2023, Sixth Annual World Health Continuing Medical Education Conference is Health Disparities Impacting Global and Local Caribbean Populations

Open document
Provider Events
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Major Depressive Disorder

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 common types of Major Depressive Disorders.

Open document
Clinical Documentation Improvement
  
Provider Alerts - Policy, Billing, or Coverage Update - 2023
Change in Level of Service Determinations and Prior Authorizations for Assertive Community Treatment

Effective June 20, 2023, Healthfirst, in accordance with the State of New York, will no longer require Level of Service Determinations (LOSD) or prior authorization for Assertive Community Treatment (ACT)

Open document
ACT
  
Provider Alerts - Pharmacy Resources & Formularies - Policy, Billing, or Coverage Update - 2023
NYRx Transition Fill Period Ending

Effective April 1, 2023, Medicaid members enrolled in Medicaid Managed Care (MMC) Plans, Health and Recovery Plans (HARP), and HIV-Special Needs Plans (SNPs) began receiving their pharmacy benefits through NYRx, the Medicaid Pharmacy program.

Open document
Pharmacy
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-073v1 Ordering/Referring Provider NPI

The NPI number of the ordering/referring provider should be included in all claim’s submissions to Healthfirst for member service requests. Federal regulations require you to submit HIPAA standard electronic transactions with only your NPI number.

Open document
Reimbursement Policy
  
Provider Alerts - Behavioral Health and Foster Care - Policy, Billing, or Coverage Update - 2023
BH | Prior Authorization Guidelines

Review this provider alert for BH prior authorization guidelines that apply to in-network providers only.

Open document
Prior Authorization
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Medicaid Managed Care

A New York State-sponsored Medicaid plan for low-income individuals, families, and children.

Open document
At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Child Health Plus (CHPlus)

A New York State-sponsored health plan for individuals under the age of 19.

Open document
At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Personal Wellness Plan (PWP)

For Medicaid beneficiaries with serious mental health illness and/or substance use disorders.

Open document
At a Glance
  
You are now navigating away from the Healthfirst website.

Links to non-Healthfirst websites are provided for your convenience only. Healthfirst is not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.