Healthfirst Provider Toolkit: Patient Recertification
Easy as 1-2-3
This recertification toolkit includes educational resources for your practice and easy-to-use guides to help you inform your patients on how to maintain their access to healthcare.
Availity Essentials Update
Availity Essentials is Healthfirst's New Provider Portal
Access Healthfirst tools through Availity Essentials, our new provider portal designed to help make your work with us easier.
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What's New
View allDiabetes Cost-Sharing Reduction for Essential Plan, Leaf Plan, and Leaf Premier Plan Members
Starting January 1, 2025, New York State of Health is implementing a Diabetes Cost-Sharing Reduction initiative to make services more accessible and affordable. Learn more about these cost-sharing reductions in this Provider Alert...
View postChanges to Claims Submissions for Prenatal and Postpartum Services
To understand the timing and delivery of perinatal services, the New York State Department of Health is requiring changes to claims submissions for perinatal services for Medicaid, Personal Wellness Plans (HARP), Medicaid Advantage Plans, and Connection Plan lines of business.
View postProvider Education Events
Together, we can improve patient outcomes. Join us at a provider education workshop, training, or event.
View postMedications Requiring Prior Authorization Under the Medical Benefit
Ensure you remain current on the most recent changes
View postPrior Authorization No Longer Required for Antiretroviral Prescription Medications
Healthfirst has removed prior authorization requirements from all antiretroviral medications prescribed for the treatment or prevention of Human Immunodeficiency Virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS) for all Healthfirst plans.
View postCrisis Residence and Mobile Crisis Services Now Covered for Healthfirst Essential Plan, Leaf, and Leaf Premier Members
Starting January 1, 2025, Healthfirst will cover Crisis Residence Services and Mobile Crisis Services for our Essential Plan (EP), Leaf & Leaf Premier Plan members (also known as our Qualified Health Plans).
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Provider Resources
Provider Alerts
Coding
Plans & Benefits
