CAHPS Season is Here!
Review the checklist for CAHPS success
Between February 26 and May 31, a random sample of Healthfirst Medicare Plan members will receive the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.
New Tools in Availity Essentials
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.
See our May 2025 updates.
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What's New
View all2025 Medicare Physician Fee Schedule Final Rule
Effective Jan 1, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Physician Fee Schedule Final Rule with key updates impacting Preventive Services for Medicare members.
View postChanges to Prior Authorization Submissions for Back Pain Management and Spinal Surgery Services
Starting September 3, 2025, Healthfirst providers will need to submit prior authorizations via Optum’s Spine, Pain, and Joint portal as the OrthoNet portal will be discontinued.
View postPrior Authorization Requirements for Drugs, Supplies, and Procedures for Sexual Dysfunction or Erectile Dysfunction
In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED).
View postPrior Authorization Guidelines for Select Remote Patient and Remote Therapeutic Monitoring Services
Learn more about prior authorization guidelines for select Remote Patient (RPM) and Remote Therapeutic Monitoring (RTM) services, effective September 1, 2025.
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