Effective June 20, 2023, Healthfirst, in accordance with the State of New York, will no longer require Level of Service Determinations (LOSD) or prior authorization for Assertive Community Treatment (ACT).
View postImportant information about deactivation of all references to invalid procedure code/modifier combinations that are in our claims system.
View postThis FAQ provides important workflow reminders, answers to questions you may have about HCBS, and other helpful resources.
View postThis document outlines the Healthfirst Telemedicine Reimbursement Policy.
View postHealthfirst's new, trigger-based approach to utilization review (UR) for certain acute mental health services.
View postEffective May 1, 2023, Healthfirst no longer requires authorization for these selected vision services.
View postThanks to expanded eligibility, more Medicare beneficiaries will qualify for the Medicare Savings Program (MSP) in 2023.
View postProvider Alert: Medicaid FFS Enrollment Requirement for Providers
View postEffective April 1, 2023, Medicaid members enrolled in MMC Plans, HARPs, and SNPs will receive their pharmacy benefits through the NYRx Pharmacy program.
View postHealthfirst + Welldoc brings innovative diabetes care to members.
View postEffective June 1, 2023, Healthfirst is updating reimbursement policies for laboratory service providers with respect to our new partnership with Avalon Healthcare Solutions.
View postCoverage and accessibility information for out-of-network providers regarding this Medicare Advantage plan
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