HF Logo HF Logo

Welcome, Healthfirst Providers!

Get all the tools you need to manage your practice and deliver excellent service to Healthfirst patients

Healthfirst Provider Toolkit: Patient Recertification

Easy as 1-2-3

Doctor33

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.

Get Started

Availity Essentials Update

Availity Essentials is Healthfirst's New Provider Portal

Smiling doctor 2

Access Healthfirst tools through Availity Essentials, our new provider portal designed to help make your work with us easier.

See More

What's New

View all
Important Posted Oct 31, 2024

Prior 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 post
 
New Posted Nov 20, 2024

Provider Education Events - new session recordings posted

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

View post
 
Posted Nov 01, 2024

Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

View post
 
Posted Oct 23, 2024

Crisis 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).

View post
 
Posted Oct 15, 2024

Two Additional Prior Authorization Codes Managed by EyeMed Effective Jan. 1, 2025

EyeMed manages Healthfirst’s prior authorization for surgical and therapeutic vision services as well as network management, related member and provider service calls, and claims payment for routine vision and medical optometry services.

View post
 

Provider Resources

noun_Document_2967745 Created with Sketch.

Provider Alerts

164 items Modified Oct 17, 2024
noun_medical_2967735 Created with Sketch.

Plans & Benefits

28 items Modified Mar 29, 2024
Hands

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.

Join us
Doctor

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.

Search
Care

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.

Begin referral
Photo 2125847723

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