Provider Education Events
Gain medical knowledge from healthcare industry leaders
Join the Healthfirst Delivery System Engagement team and your peers as we present informative and timely continuing medical education programs, webinars, and more.
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 allElectronic Consultation (eConsult) Reimbursement
Reimbursement Updates for eConsults
View post2025 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).
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