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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.

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CAHPS Season is Here

Here's what you need to know

Woman survey

Between March and June, a random sample of Healthfirst Medicare Plan members will receive the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.

Tips for CAHPS Success

What's New

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Important New Posted Apr 09, 2024

835/ERA Receipt Now Available via Availity Clearinghouse

Healthfirst has been closely monitoring the service disruptions caused by a cybersecurity incident that impacted the operations of Change Healthcare. (See FAQ updated April 9, 2024)

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Important Posted Mar 29, 2024

Announcing Essential Plan 200–250

Healthfirst is excited to announce our newest benefit plan, Essential Plan 200–250, launching on April 1, 2024.

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Important Posted Mar 27, 2024

Instructions for Accessing Clinical Guidelines

Beginning Jan. 1, 2024, Healthfirst members and participating network providers may access clinical guidelines for prior authorization (PA) requests for all Medicare basic healthcare services.

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Important Posted Mar 19, 2024

Tips to Increase Colorectal Screenings

Remind patients to schedule a colorectal cancer exam starting at age 45. A screening can detect cancer early, when it's easier to treat.

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Posted Mar 28, 2024

New Effective Date for Acupuncture, Occupational Therapy, Physical Therapy, and Speech Therapy Standard Fee Schedule Rates

Earlier this year, Healthfirst shared an update to our Standard Fee Schedule for specific acupuncturist, occupational therapy, physical therapy, and speech therapy codes.

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Posted Mar 22, 2024

Lymphedema Compression Treatment Items Now Covered by Medicare

A new benefit category has been established for Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for standard and custom-fitted compression garments and additional lymphedema compression treatment items that are primarily and customarily used to serve a medical purpose.

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Posted Mar 15, 2024

Provider Education Events - Register Today

Together, we can improve patient outcomes. Join us at a provider education workshop, training, or event.

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Posted Mar 05, 2024

Expanded Spinal Muscular Atrophy (SMA) Carrier Screening

New York State (NYS) Medicaid has provided coverage for Spinal Muscular Atrophy (SMA) carrier screening since 2014. However, effective October 1, 2023, the coverage criteria for SMA carrier screening has been expanded to all NYS Medicaid members who are planning to become, or already are pregnant.

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Provider Resources


Join Our Network

Healthfirst has over one million members and growing. Join thousands of doctors in providing the best possible care to the patients who need you.

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Find a Doctor, Hospital or Pharmacy

We work hard to make it easy for you to get the care you need, when you need it. Search in-network providers, hospitals, pharmacies, and more with this convenient tool.


Refer Long-Term Care

Provide and coordinates services that are typically covered by Medicaid and Medicare, including the health, social, emotional, nutritional, and rehabilitation services.

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Provider Manuals

These helpful manuals will give you and your staff easy access to the information you need to run your practice and provide quality care to Healthfirst members.

Provider manual SHP manual