Posted Aug 29, 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.
Review this reimbursement policy to understand how they may impact claims submission and
| Policy Name | Description of Update | Policy Link |
|---|---|---|
| Additional Office and Outpatient Services Billed with Evaluation and Management (E/M) | Update includes complexity add-on codes, preventive and behavioral counseling, medical nutrition therapy, prolonged services, screening services, and vision services. | View |
Staying current with updates made to the provider manual helps ensure compliance and alignment with Healthfirst requirements.
| Section | Description of Update |
|---|---|
| Section 9.1 Behavioral Health Services Description of the Network |
Renamed Outpatient with Opioid Treatment Programs (OTP) - formerly known as Comprehensive Outpatient Programs (COPs) - to align with New York State’s Office of Addiction Services and Supports (OASAS) naming conventions.
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| Date/Time | Topic | Registration Link |
|---|---|---|
| Sep 10, 2026, 9:00am | OIG Readiness Series: ICD-10 2027 Coding Updates | Register Here |
| Sep 17, 2026, 12:00pm | Healthfirst Provider Town Hall | Register Here |
| Sep 24, 2026, 12:00pm | Healthfirst Provider Town Hall | Register Here |
There are no prior authorization requirements with an effective date of September 1, 2026.
