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Provider Alerts - Pharmacy Resources & Formularies - Practice Guidelines and Tips - 2023
Obtaining Physician-Administered Drugs through a Specialty Pharmacy

As a Healthfirst provider, you can get Physician-Administered Drugs (PADs) delivered to your office at no cost through White Bagging when the medication is obtained from a Healthfirst in-network specialty pharmacy provider.

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Pharmacy
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2023
Medical Nutrition Therapy Added to the Article 29-I VFCA Health Facilities

In accordance with the approved Medicaid State Plan Amendment: Medical Nutrition Therapy (MNT) has been added to the Article 29-I VFCA Health Facilities (29-I) Other Limited Health Related Services (OLHRS) Fee Schedule. View for more details.

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Billing
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2023
Reimbursement Policy: PO-RE-086v1 Place of Service

Healthfirst will reimburse services when reported with an appropriate Place of Service (POS).

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Reimbursement Policy
  
Provider Alerts - Claims & Billing - Provider Resources - 2023
Pharmacist-Administered Human Papillomavirus (HPV) Vaccine Now Available to Healthfirst Patients Aged 18+

New York law has expanded the types of immunizations licensed pharmacists can administer to patients 18 years or older, including the HPV vaccine.

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Vaccines
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2020
Best Practices to Improve Medication Adherence
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Medication Adherence
  
Education Events & Patient Care Resources - Video - 2020
Second Annual Best Practices CME Part 1 - August 11, 2020

Second Annual Best Practices Conference on August 11, 2020 Hosted by Icahn School of Medicine at Mount Sinai and Healthfirst The goal of Healthfirst’s Best Practices CME activity is to increase attendees’ knowledge of emerging strategies for addressing health needs and for reducing racial health disparities among New Yorkers in the era of COVID-19. It addresses strategies to optimize meaningful and measurable health outcomes for individuals in populations impacted by COVID-19. Participants will consider the tools and resources that can address the opportunities, challenges, and impacts on managing the health of these New Yorkers. This includes policymaking; social, geographic, racial, and age-related factors; and structural components of the healthcare delivery system.

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Provider Events
  
Education Events & Patient Care Resources - Video - 2020
Healthfirst’s Second Annual Best Practices (CME) Conference - Part 2

Second Annual Best Practices Conference on September 24, 2020 Hosted by Icahn School of Medicine at Mount Sinai and Healthfirst The goal of Healthfirst’s Best Practices CME activity is to increase attendees’ knowledge of emerging strategies for addressing health needs and for reducing racial health disparities among New Yorkers in the era of COVID-19. It addresses strategies to optimize meaningful and measurable health outcomes for individuals in populations impacted by COVID-19. Participants will consider the tools and resources that can address the opportunities, challenges, and impacts on managing the health of these New Yorkers. This includes policymaking; social, geographic, racial, and age-related factors; and structural components of the healthcare delivery system.

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Provider Events
  
Education Events & Patient Care Resources - Video - 2020
CAMS 093020

Hosted by Chinese American Medical Society Speaker: Erica N. Hutchison, Ph.D., Senior Clinical Psychologist, Department of Academic Affairs, Maimonides Medical Center Arts and humanities play a critical role in how we understand ourselves and each other on a human level. Our interactions with the arts, whether active or passive, can impact how we view and make sense of the world around us.

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Provider Events
  
Provider Alerts - Claims & Billing - Policy, Billing, or Coverage Update - 2024
Medicare now covers more family and mental health counseling services

As of January 1, 2024, Medicare covers marriage and family therapy (MFT), mental health counseling (MHC), and intensive outpatient program (IOP) services for all Healthfirst Medicare plans.

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Medicare
  
Compliance, Regulatory & Policies - Policy, Billing, or Coverage Update - 2022
Healthfirst Health Information Exchange Policies and Procedures

These policies and procedures govern the exchange of information through the health information exchange application (“HIE”) operated by Healthfirst, which allows the exchange of Member Data between and among Healthfirst and certain qualified participating providers. Providers that participate in the HIE may access information about Healthfirst members to coordinate services, improve quality, and manage the cost of care. Updated as of June 1, 2022.

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Documentation
  
Education Events & Patient Care Resources - Form - 2020
CVS Caremark Prior Authorization Form
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Documentation
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2020
Prenatal Care in NYS
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Children & Family
  
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