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What's New

Posted Mar 01, 2024
Healthfirst CompleteCare and Senior Health Partners Changes to Non-Emergency Transportation Benefits

Services now available through NYS Medical Answering Services (MAS)

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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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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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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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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 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 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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Posted Nov 20, 2023
New Video! Clinical Documentation and Coding Breast Cancer Tips

This 5-minute video offers guidance on proper clinical documentation and coding of breast cancer.

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Posted Nov 14, 2023
Prior Authorizations Eliminated for Substance Use Disorder Prescriptions

This requirement is pursuant to recent changes in law enacted by the New York State Fiscal Year 23-24 Budget Bill

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Posted Nov 08, 2023
Provider Alert: Updated Care Requirements for Children Placed in Foster Care

Provision and coordination of services for children in foster care must be done in compliance with these updated New York State requirements...

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Posted Oct 24, 2023
Provider Alert: Pharmacist-Administered HPV Vaccines

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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