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Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Letter (Spanish)

An easy-to-read letter that explains recertification to your Healthfirst patients. You can copy and paste it into your patient mailings.

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Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Letter (Chinese)

An easy-to-read letter that explains recertification to your Healthfirst patients. You can copy and paste it into your patient mailings.

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Documentation
  
Provider Alerts - Provider Resources - 2023
Healthfirst Provider Toolkit: Patient Recertification - Patient Renewal Email (Spanish)

This email text explains recertification to your Healthfirst patients. You can copy and paste it into your practice’s patient emails.

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Documentation
  
Coding - Practice Guidelines and Tips - 2023
Documentation and Coding: Asthma, CMS-HCC_V28 Model Updates

This tip sheet is intended to assist providers and coding staff with the documentation and ICD-10-CM selection, along with the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) Version 28 Model Updates, on services submitted to Healthfirst—specifically for common types of Asthma.

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Clinical Documentation Improvement
CMS-HCC_V28 Model Updates
  
Education Events & Patient Care Resources - Practice Guidelines and Tips - 2023
Program Book: Transforming Care for Individuals Living with Psychosis

(Program book) October 12, 2023: This program aims to address common barriers to effective treatment of psychotic disorders including delayed onset of treatment, and lack of provider knowledge for when and how to initiate clozapine for individuals with treatment resistant schizophrenia and strategies for managing and mitigating common side effects of antipsychotics to improve adherence.

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Provider Events
  
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
  
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