Healthfirst Provider Toolkit: Patient Recertification
Easy as 1-2-3
This recertification toolkit includes educational resources for your practice and easy-to-use guides to help you inform your patients on how to maintain their access to healthcare.
CAHPS Season is Here
Here's what you need to know
Between March and June, a random sample of Healthfirst Medicare Plan members will receive the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.
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What's New
View all835/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)
View postAnnouncing Essential Plan 200–250
Healthfirst is excited to announce our newest benefit plan, Essential Plan 200–250, launching on April 1, 2024.
View postInstructions 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.
View postTips 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.
View postNew 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.
View postLymphedema 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.
View postProvider Education Events - Register Today
Together, we can improve patient outcomes. Join us at a provider education workshop, training, or event.
View postExpanded 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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