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What's New

Important New Posted Feb 29, 2024
Impact of Change Healthcare Cybersecurity Attack

Healthfirst has been closely monitoring the service disruptions caused by a cybersecurity incident that impacted the operations of Change Healthcare.

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Important New Posted Feb 29, 2024
Mobile Crisis and Crisis Residence Service Changes

To improve access to crisis care, New York State received federal approval to consolidate and align its Mobile Crisis and Crisis Residence services. These Crisis Intervention State Plan Amendment (SPA) changes will start March 1, 2024.

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Important New Posted Feb 23, 2024
Accessing Clinical Guidelines for Medicare Basic Services

As of Jan. 1, 2024, Healthfirst members and participating network providers may access clinical guidelines for prior authorization (PA) requests for all Medicare basic healthcare services.

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Important Posted Feb 07, 2024
Prior Authorization - Podiatry and Peripheral Vascular Disease

Effective Jan. 1, 2024, Healthfirst resumed responsibility for management of prior authorization (PA) requests for Podiatry and Peripheral Vascular Disease.

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Important Posted Feb 07, 2024
Prior Authorization Request - Physical, Occupational, and Speech Therapies

Effective Jan. 1, 2024, Healthfirst resumed responsibility for management of prior authorization (PA) requests for Physical, Occupational, and Speech Therapies.

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Important Posted Feb 07, 2024
New State Requirements for Provider Compliance Programs

New York State has made changes to provider requirements for starting and maintaining compliance programs.

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Posted Feb 05, 2024
New Webinars Added - Register for these 2024 Provider Education Events!

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

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Important Posted Jan 10, 2024
Special Needs Plan Model of Care Annual Evaluation for 2024

This presentation will help educate providers, delegated vendors, and appropriate staff on the Healthfirst Special Needs Plan (SNP) Model of Care (MOC),

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Posted Jan 04, 2024
Telehealth Place of Service (POS) Changes

With the ending of the Federal Public Health Emergency, Healthfirst will be aligning with New York State (NYS) and Centers for Medicare & Medicaid Services (CMS) guidance on Telehealth Place of Service (POS) billing and reimbursement.

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Posted Jan 03, 2024
Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

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Posted Dec 22, 2023
Reminder: EyeMed Relationship Begins Jan. 1, 2024

See information about the change, including CPT codes and descriptions.

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Posted Dec 14, 2023
OrthoNet Descope - FAQ

Effective Jan. 1, 2024, Healthfirst will resume responsibility for management of prior authorization (PA) requests for all Physical, Occupational, and Speech Therapies, Podiatry Services, and Vascular Surgery. The following FAQ will help you understand how this change might affect you...

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