Posted Oct 30, 2026
Learn more about key updates providers should know.
Each month, Healthfirst shares key updates to help you stay informed, prepared, and supported. Below you’ll find important changes and opportunities for the upcoming month. We encourage you to review each section carefully and explore the links provided for full details.
Understanding these updates now can help you avoid delays and ensure a smooth experience for your patients and staff.
| Provider Alert Name and Link | Description |
|---|---|
| Prior Authorization Requirements for Select Codes Starting November 30, 2026 | These changes are part of Healthfirst’s ongoing responsibility to evaluate its medical policies compared to the latest scientific evidence and specialty society guidance. |
| Date/Time | Topic | Registration Link |
|---|---|---|
| Nov. 5, 2026 at 9:00am | OIG Readiness Series: HCC Refresher of Chronic Conditions | Register Here |
Review these reimbursement policies to understand how they may impact claims submission and payment.
There are no Provider Manual Updates for November 2026.
