Medicaid Plans
Plan Documents
Medicaid Managed Care Formulary
Personal Wellness Plan Formulary
Child Health Plus Formulary
General Forms, Documents, and Resources
Member Status Change Form
What You Need to Know About HIV Testing
Authorization to Release Protected Health Information
Authorization to Release Substance Use Disorder Protected Health
Healthfirst's Privacy Notice
Essential Plans
Plan Documents
Summary of Benefits - Essential Plan 1
Summary of Benefits - Essential Plan 1 Plus Dental & Vision
Summary of Benefits - Essential Plan 2
Summary of Benefits - Essential Plan 2 Plus Dental & Vision
Summary of Benefits - Essential Plan 3
Summary of Benefits - Essential Plan 4
General Forms, Documents, and Resources
CVS Mail Service Order Form
Gym Benefits - Visit Submission Form
Essential Plan Member Reimbursement Instruction and Form
Authorization to Release Protected Health Information
Authorization to Release Substance Use Disorder Protected Health Information
Healthfirst's Privacy Notice
Leaf and Leaf Premier Plans
Plan Documents
Summary of Benefits - Platinum Leaf Premier Plan
Summary of Benefits - Platinum Leaf Plan
Leaf and Leaf Premier Plan Formulary
Summary of Benefits - Gold Leaf Premier Plan
Summary of Benefits - Gold Leaf Plan
Leaf and Leaf Premier Plan Formulary
Summary of Benefits - Silver Leaf Premier Plan (>250% FPL)
Summary of Benefits - Silver Leaf Premier Plan (200 - 250% FPL)
Summary of Benefits - Silver Leaf Plan (>250% FPL)
Summary of Benefits - Silver Leaf Plan (200 - 250% FPL)
Summary of Benefits - Silver Leaf Plan (150 - 200% FPL)
Summary of Benefits - Silver Leaf Plan (100 - 150% FPL)
Leaf and Leaf Premier Plan Formulary
Summary of Benefits - Bronze Leaf Premier Plan
Summary of Benefits - Bronze Leaf Plan
Leaf and Leaf Premier Plan Formulary
Summary of Benefits - Green Leaf Plan
Leaf and Leaf Premier Plan Formulary
General Forms, Documents, and Resources
CVS Mail Service Order Form
Gym Benefits - Visit Submission Form
Leaf Plan Member Reimbursement Instruction and Form
Authorization to Release Protected Health Information
Authorization to Release Substance Use Disorder Protected Health Information
Healthfirst's Privacy Notice