Thanks 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
View postThis expansion includes the management of prior authorization for medical oncology services requested for our members enrolled in all Healthfirst plans, except for the Senior Health Partners MLTC plan.
View postEffective 1/1/2023, the maximum out-of-pocket (MOOP) limit for a Medicare Advantage (MA) plan (after which the plan pays 100% of MA costs) will be calculated based on the accrual of all Medicare-covered cost sharing.
View postHelp address patient concerns regarding the flu shot.
View postHealthfirst would like to remind you to review your National Provider Identifier (NPI) data in the National Plan & Provider Enumeration System (NPPES) as soon as possible to ensure that the provider data displayed is accurate
View postEffective January 1, 2023, New York State is carving additional Behavioral Health services into the Medicaid Advantage Plus plan.
View postEffective Nov. 21, 2022, Healthfirst, in accordance with the State of New York, will no longer require prior authorization for Personalized Recovery Oriented Services (PROS).
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