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Provider Forms - Form - 2025
Podiatry and Peripheral Vascular Disease Prior Authorization Request

Use this form when requesting prior authorization of Podiatry and Peripheral Vascular Disease services for Healthfirst members

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Forms
  
Provider Forms - Form - 2025
Outpatient Physical Therapy, Occupational Therapy, and Speech Therapy Prior Authorization Request

Use this form when requesting prior authorization of physical, occupational, or speech therapy services for Healthfirst members.

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Forms
  
Provider Forms - Form - 2025
Children and Family Treatment Support Services (CFTSS) Continuing Authorization Request Form

Healthfirst is requesting concurrent review at the fourth visit for Community Psychiatric Supports & Treatment (CPST) and Psychosocial Rehabilitation (PSR). The CFTSS provider should complete this form when requesting continuation of services and submit the current CFTSS Treatment Plan, if available.

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Forms
  
Provider Forms - Form - 2025
Children's HCBS Authorization and Care Manager Notification Form

The Children’s Waiver HCBS Provider must complete this form for Children’s Waiver HCBS beyond the initial service period of 24 hours/96 units/60 days.

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Forms
  
Provider Alerts - Practice Guidelines and Tips - 2025
Expanded Intimate Partner Violence Screening Guidelines for Women

Effective 12/24/2025, the USPSTF reaffirmed its Grade B recommendation to screen women of reproductive age, including pregnant and postpartum, for Intimate Partner Violence (IPV), reinforcing the importance of early detection.

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Administration
Preventive Measures
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Artificial Opening

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 Artificial Opening.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Central Retinal Vein Occlusion

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 Central Retinal Vein Occlusion.

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Disorder of Immunity

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 Disorder of Immunity.

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

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 Lymphoma

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Clinical Documentation Improvement
  
Documentation & Coding - Practice Guidelines and Tips - 2025
Documentation and Coding: Opportunistic Infection

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 Opportunistic Infection.

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

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 Osteonecrosis.

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

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 Pemphigus.

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Clinical Documentation Improvement
  
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