Effective Jan. 1, 2024, Healthfirst will resume responsibility for management of some prior authorization (PA) requests previously managed by OrthoNet.
View postDetails of cost sharing changes for Medicare Part B drugs due to the Inflation Reduction Act
View postWe are pleased to announce that Healthfirst has recently partnered with Andros, an industry-leading, NCQA-Certified, CVO (Credentials Verification Organization).
View postThis 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.
View postInformation for providers who determine that Healthfirst has overpaid a claim.
View postInvalid ICD-10-CM diagnosis codes are expiring.
View postRefer any Healthfirst member who may benefit from the app’s diabetes tools and program resources.
View postImportant Information for Medicaid Providers
View postEffective 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 post