A new benefit category has been established for Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for standard and custom-fitted compression garments and additional lymphedema compression treatment items that are primarily and customarily used to serve a medical purpose.
View postRemind patients to schedule a colorectal cancer exam starting at age 45. A screening can detect cancer early, when it's easier to treat.
View postThe federal Public Health Emergency (PHE) related to the COVID‑19 pandemic ended on May 11, 2023. In this resource, you will find the latest PHE policy and procedure updates that may affect Healthfirst participating providers.
View postNew York State (NYS) Medicaid has provided coverage for Spinal Muscular Atrophy (SMA) carrier screening since 2014. However, effective October 1, 2023, the coverage criteria for SMA carrier screening has been expanded to all NYS Medicaid members who are planning to become, or already are pregnant.
View postServices now available through NYS Medical Answering Services (MAS)
View postTo 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.
View postEffective Jan. 1, 2024, Healthfirst resumed responsibility for management of prior authorization (PA) requests for Podiatry and Peripheral Vascular Disease.
View postEffective Jan. 1, 2024, Healthfirst resumed responsibility for management of prior authorization (PA) requests for Physical, Occupational, and Speech Therapies.
View postNew York State has made changes to provider requirements for starting and maintaining compliance programs.
View postThis presentation will help educate providers, delegated vendors, and appropriate staff on the Healthfirst Special Needs Plan (SNP) Model of Care (MOC),
View postEffective 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...
View postThis requirement is pursuant to recent changes in law enacted by the New York State Fiscal Year 23-24 Budget Bill
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