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What's New

Important New Posted Jul 25, 2024
Reimbursement Update for electronic consultations (eConsults)

The New York State (NYS) Medicaid fee-for-service (FFS) program will reimburse for eConsults, effective April 1, 2024.

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Important New Posted Jul 23, 2024
Medicare Coverage Billing Guidance for Intensive Outpatient Programs

The Centers for Medicare & Medicaid Services (CMS) added coverage for Intensive Outpatient Program (IOP) services as of Jan. 1, 2024.

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Important New Posted Jul 19, 2024
Prior Authorization Request Enhancements for Select Outpatient Service Authorizations

Learn how to obtain faster authorizations through our Online Authorization Request tool.

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Important New Posted Jul 15, 2024
Newly Added Provider Education Events - Register Today

Together, we can improve patient outcomes. Join us at a provider education workshop, training, or event.

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Important Posted Jul 09, 2024
Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

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Posted Jun 25, 2024
Healthfirst Provider Portal Transitioning to Availity Essentials

Availity Essentials™ - Healthfirst’s New Provider Portal Launching July 2024

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Posted Jun 10, 2024
Public Health Emergency (PHE) Flexibilities Related to the Medicaid Children’s Waiver and Health Home Services

The New York State Department of Health (NYSDOH) has issued guidance on Public Health Emergency (PHE) flexibilities...

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Important Posted May 09, 2024
835/ERA Receipt Now Available via Availity Clearinghouse

Healthfirst has been closely monitoring the service disruptions caused by a cybersecurity incident that impacted the operations of Change Healthcare. (See FAQ updated May 3, 2024)

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Posted Apr 24, 2024
Latest Healthfirst news posted on LinkedIn

Follow Healthfirst on LinkedIn for more.

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Posted Mar 29, 2024
Announcing Essential Plan 200–250

Healthfirst is excited to announce our newest benefit plan, Essential Plan 200–250, launching on April 1, 2024.

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Posted Mar 28, 2024
New Effective Date for Acupuncture, Occupational Therapy, Physical Therapy, and Speech Therapy Standard Fee Schedule Rates

Earlier this year, Healthfirst shared an update to our Standard Fee Schedule for specific acupuncturist, occupational therapy, physical therapy, and speech therapy codes.

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Posted Mar 22, 2024
Lymphedema Compression Treatment Items Now Covered by Medicare

A new benefit category has been established for Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for standard and custom-fitted compression garments and additional lymphedema compression treatment items that are primarily and customarily used to serve a medical purpose.

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