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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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What's New

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Important New Posted Feb 29, 2024

Impact of Change Healthcare Cybersecurity Attack

Healthfirst has been closely monitoring the service disruptions caused by a cybersecurity incident that impacted the operations of Change Healthcare.

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Important New Posted Feb 29, 2024

Mobile Crisis and Crisis Residence Service Changes

To improve access to crisis care, New York State received federal approval to consolidate and align its Mobile Crisis and Crisis Residence services. These Crisis Intervention State Plan Amendment (SPA) changes will start March 1, 2024.

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Important New Posted Feb 23, 2024

Accessing Clinical Guidelines for Medicare Basic Services

As of 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 Feb 07, 2024

Prior Authorization - Podiatry and Peripheral Vascular Disease

Effective Jan. 1, 2024, Healthfirst resumed responsibility for management of prior authorization (PA) requests for Podiatry and Peripheral Vascular Disease.

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Posted Feb 05, 2024

New Webinars Added - Register for these 2024 Provider Education Events!

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

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Posted Jan 04, 2024

Telehealth Place of Service (POS) Changes

With the ending of the Federal Public Health Emergency, Healthfirst will be aligning with New York State (NYS) and Centers for Medicare & Medicaid Services (CMS) guidance on Telehealth Place of Service (POS) billing and reimbursement.

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Posted Jan 03, 2024

Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

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Posted Dec 22, 2023

Reminder: EyeMed Relationship Begins Jan. 1, 2024

See information about the change, including CPT codes and descriptions.

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Provider Resources

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Provider Alerts

137 items Modified Mar 02, 2024
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Plans & Benefits

28 items Modified Mar 01, 2024
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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.

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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 Manual

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