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What's New

Important New Posted Apr 09, 2024
835/ERA Receipt Now Available via Availity Clearinghouse

Healthfirst has been closely monitoring the service disruptions caused by a cybersecurity incident that impacted the operations of Change Healthcare. (See FAQ updated April 9, 2024)

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Important Posted Mar 29, 2024
Announcing Essential Plan 200–250

Healthfirst is excited to announce our newest benefit plan, Essential Plan 200–250, launching on April 1, 2024.

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Posted Mar 28, 2024
New Effective Date for Acupuncture, Occupational Therapy, Physical Therapy, and Speech Therapy Standard Fee Schedule Rates

Earlier this year, Healthfirst shared an update to our Standard Fee Schedule for specific acupuncturist, occupational therapy, physical therapy, and speech therapy codes.

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Important Posted Mar 27, 2024
Instructions for Accessing Clinical Guidelines

Beginning Jan. 1, 2024, Healthfirst members and participating network providers may access clinical guidelines for prior authorization (PA) requests for all Medicare basic healthcare services.

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Posted Mar 22, 2024
Lymphedema Compression Treatment Items Now Covered by Medicare

A new benefit category has been established for Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for standard and custom-fitted compression garments and additional lymphedema compression treatment items that are primarily and customarily used to serve a medical purpose.

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Important Posted Mar 19, 2024
Tips to Increase Colorectal Screenings

Remind patients to schedule a colorectal cancer exam starting at age 45. A screening can detect cancer early, when it's easier to treat.

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Important Posted Mar 19, 2024
The End of the Public Health Emergency, Part 4

The federal Public Health Emergency (PHE) related to the COVID‑19 pandemic ended on May 11, 2023. In this resource, you will find the latest PHE policy and procedure updates that may affect Healthfirst participating providers.

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Posted Mar 15, 2024
Provider Education Events - Register Today

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

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Posted Mar 05, 2024
Expanded Spinal Muscular Atrophy (SMA) Carrier Screening

New York State (NYS) Medicaid has provided coverage for Spinal Muscular Atrophy (SMA) carrier screening since 2014. However, effective October 1, 2023, the coverage criteria for SMA carrier screening has been expanded to all NYS Medicaid members who are planning to become, or already are pregnant.

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Posted Mar 01, 2024
Medications Requiring Prior Authorization Under the Medical Benefit

Ensure you remain current on the most recent changes

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Posted Mar 01, 2024
Medicare CAHPS Season is March to June

Here’s what you need to know about the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.

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Posted Mar 01, 2024
Healthfirst CompleteCare and Senior Health Partners Changes to Non-Emergency Transportation Benefits

Services now available through NYS Medical Answering Services (MAS)

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