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What's New

Posted Oct 16, 2023
Healthfirst Cares powered by Welldoc® App now supports prediabetes

Learn more about the self-management features and how it can be used to support your patients with prediabetes!

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Posted Oct 04, 2023
Provider Alert: Behavioral Health Utilization Review Implementation

Healthfirst has implemented a new, trigger-based approach to utilization review for certain acute mental health services for all of our health plans, except for Medicare Advantage plans.

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Posted Oct 02, 2023
Provider Alert: Prohibiting Copays at OTP Facilities

Effective Jan. 1, 2023, New York law prohibits commercial health insurance plans from imposing copayments and coinsurance for treatment delivered at an Opioid Treatment Program (OTP)...

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Posted Sep 25, 2023
Provider Alert - OrthoNet Descope

Effective Jan. 1, 2024, Healthfirst will resume responsibility for management of prior authorization (PA) requests previously managed by OrthoNet.

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Posted Sep 25, 2023
FAQ - OrthoNet Descope

Effective Jan. 1, 2024, Healthfirst will resume responsibility for management of some prior authorization (PA) requests previously managed by OrthoNet.

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Posted Sep 15, 2023
Inflation Reduction Act Impacts Cost Sharing for Medicare Part B Drugs

Details of cost sharing changes for Medicare Part B drugs due to the Inflation Reduction Act

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Posted Sep 12, 2023
Provider Alert - Credentialing

We are pleased to announce that Healthfirst has recently partnered with Andros, an industry-leading, NCQA-Certified, CVO (Credentials Verification Organization).

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Posted Sep 01, 2023
Healthfirst Provider Toolkit: Patient Recertification

This recertification toolkit includes educational resources for your practice and easy-to-use guides to help you inform your patients on how to maintain their access to healthcare.

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Posted Aug 24, 2023
Provider-Identified Overpayments

Information for providers who determine that Healthfirst has overpaid a claim.

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Posted Aug 16, 2023
Improving Specificity in ICD-10-CM Diagnosis Coding

Invalid ICD-10-CM diagnosis codes are expiring.

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Posted Jul 14, 2023
Healthfirst Cares Powered by Welldoc App Member Referral Form

Refer any Healthfirst member who may benefit from the app’s diabetes tools and program resources.

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Posted Jun 23, 2023
NYRx Transition Fill Period Ending

Important Information for Medicaid Providers

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