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Continued In-Network Access to NewYork-Presbyterian

Important Update: Healthfirst and NewYork-Presbyterian have reached an agreement

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Healthfirst members will have continued and uninterrupted in-network access to all NewYork-Presbyterian hospitals and its affiliated doctors, including ColumbiaDoctors and Weill Cornell Medicine.

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New Availity Essentials Updates

Availity Essentials is Healthfirst's New Provider Portal

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

See our July 2025 updates.

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What's New

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Important New Posted Oct 31, 2025

Reimbursement 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).

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New Posted Oct 31, 2025

Prior Authorization Guidelines for Select Services Effective February 1, 2026

Starting February 1, 2026, Healthfirst will add prior authorization requirements for selected vision services.

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Posted Aug 28, 2025

Reminder: New Prior Authorization Guidelines effective September 1, 2025

Starting September 1, 2025, Healthfirst is introducing new prior authorization guidelines for select Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) services.

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Posted Aug 12, 2025

2025 Annual Compliance Requirements - Mandatory Training and Certification

Required Mandatory Annual Compliance Training

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Posted Jul 15, 2025

Important Notice Regarding U.S. Department of Justice Regulations on Sensitive Personal Data

The United States Department of Justice has issued new regulations titled the “Final Rule on Preventing Access to U.S. Sensitive Personal Data and United States Government-Related Data by Countries of Concern”, codified at 28 C.F.R. Part 202.

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Provider Resources

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Provider Alerts

203 items Modified Oct 31, 2025
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Plans & Benefits

29 items Modified Mar 18, 2025
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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 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.

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