Posted Oct 04, 2023
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.
In response to a requirement by the New York State Office of Mental Health (OMH), Healthfirst has implemented a new, trigger-based approach to utilization review (UR) for certain acute mental health services (MH) for all of our health plans, except for Medicare Advantage plans. Our new, trigger-based UR approach went into effect Feb. 6, 2023. Our Medicare line of business is excluded. For additional details, read the Provider Alert...