Full transition to Availity Essentials on December 22, 2025
Availity Essentials is Healthfirst’s New Provider Portal
Effective December 22, the legacy Healthfirst Provider Portal will no longer be active. Learn more about the full transition to Availity Essentials and register for training.
Reminder: Complete Your Compliance Activities for 2025
Healthfirst providers must complete their annual compliance requirements by December 31, 2025
This effort supports our commitment to regulatory compliance and high-quality care. Providers must complete applicable training and/or attestations by December 31, 2025.
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What's New
View allUpdate on NYS Medicaid Coverage for Therapeutic Transcranial Magnetic Stimulation (TMS)
Effective November 1, 2025, and in accordance with New York State Department of Health guidance, Healthfirst will provide coverage for Therapeutic Transcranial Magnetic Stimulation for eligible Medicaid, Medicaid Advantage Plus, and Health and Recovery Plan members diagnosed with Treatment-Resistant Major Depressive Disorder.
View postPrior Authorization Guidelines for Select Services Effective February 1, 2026
Starting February 1, 2026, Healthfirst will add prior authorization requirements for selected vision services.
View postReimbursement Update for Contrast Agents Prescribed to Medicaid Members
To align with the New York State Medicaid Pharmacy Program policies, Healthfirst will no longer reimburse any contrast agents used for radiological testing for members enrolled in Medicaid Managed Care (MMC) or Personal Wellness Plans (HARP).
View postAvaility Essentials fully launches on December 22, 2025
Providers can access all Healthfirst tools through Availity Essentials, our new secure provider portal platform.
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