Important Provider Alerts and Communications
Important Provider Alerts and Communications
Healthfirst Welcomes VNSNY Choice Medicare Members 10/17/18
Create a new account at HFProviderPortal.org 10/01/18
Quality Measure Definitions – Quick Reference for PCAs 09/18/18
Medicaid CAHPS Season Starts in September 8/24/18
Claims Payment: Introducing Virtual Cards (VCard®) 6/15/18
Reimbursement for Pasteurized Donor Human Milk 5/22/18
The Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA) Program 4/30/18
Diabetes Prevention Program (DPP) 4/16/18
Important Authorization Changes - Peripheral Vascular Procedures 4/03/18
OrthoNet – Prior Authorization Review for Peripheral Vascular Surgery Procedures 4/03/18
Non-Medical Transportation Guidance for Behavioral Health Home- and Community-Based Services (BH-HCBS) 3/27/18
New Medicare Cards 3/27/18
Healthfirst Model of Care - 2018 Training 2/08/18
Medication Therapy Management 2/08/18
Medicare CAHPS Season Starts in March 1/18/18
Health Management Systems, Inc. (HMS) Provider Notifications 11/29/17
Healthfirst/Health Management Systems (HMS) Provider Disallowance Program 11/29/17
Update to Inpatient Hospital Implant Reimbursement Policy 11/28/17
Makena/17 Alpha-Hydroxyprogesterone Caproate (17P) –Ordering and Administration 11/20/17
Coverage Determination and Prior Authorizations 11/16/17
Medline Provider Alert 10/25/17
Liberty Health Provider Alert 10/19/17
2018 Renewal and Open Enrollment Timeline 10/12/17
Jimmo Settlement Agreement—Update 10/12/17
Medicare Annual Election Period 10/04/17
Keep Your Provider Profile Current 10/02/17
NOW AVAILABLE - Smoking Cessation Tools and Resources 10/02/17
Changes to QHP Provider Referral Requirements 09/29/17
Frequently Asked Questions: Qualified Health Plans (QHP) 09/29/17
Medicaid CAHPS Season is Underway 08/22/17
Frequently Asked Questions: Important Changes to the Retail Pharmacy Network 08/22/17
Frequently Asked Questions: Health and Recovery Plans (HARP) and Healthfirst's Personal Wellness Plan (PWP) 08/15/17
Frequently Asked Questions: Health Homes for Medicaid Enrollees with Chronic Conditions 08/10/17
PCMH Statewide Incentive Payment Program: Revised Incentive Payments and Updated Billing Guidance 08/07/17
Post-Acute Care Program Quick Reference Guide 08/03/17
Post Acute Care Program 08/03/17
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program 07/05/17
Provider FAQ: Hemophilia/Blood Clotting Factors 07/03/17
Potential for Falsely Low Blood Lead Test Results from Venous Samples Analyzed with LeadCare® Devices 06/19/17
Postpartum Maternal Depression Screening: Updated Billing Guidelines 05/25/17
UPDATED Transportation Benefit for Medicaid Beneficiaries 05/25/17
First Episode Psychosis (FEP) Practice Guidelines 05/18/17
Provider Alert LARC and Contraceptive 05/15/17
Learn more about Healthfirst EPO plans, Healthfirst Pro EPO and Healthfirst Pro Plus EPO plans 04/28/17
Balance Billing of Members is Prohibited 04/13/17
Uniform Clinical Network Provider Training 04/13/17
SADC Authorization Changes 03/24/17
Adult Day Health Care (ADHC) – Authorization Changes 03/24/17
2017 Provider FAQs About NY State of Health and Healthfirst Commercial Products (Leaf Plans) 03/02/17
Authorizations for Inpatient Treatment of Substance Use Disorders - Provider FAQ 03/01/17
LogistiCare Transportation Benefit 02/23/17
Reimbursement Policy: Anesthesia Start & End Time 02/17/17
Nurse Line Provider Alert 02/15/17
National Coverage Determination (NCD) on Medicare Coverage for Hepatitis B Virus (HBV) Screening 02/14/17
New Medicare Outpatient Observation Notice (MOON) 02/10/17
The Healthfirst Essential Plan FAQs 02/06/17
Additional resources for your Healthfirst Medicare Advantage patients who might need financial assistance 12/22/16
My Patients Are Turning 65. What Are Their Options? 12/20/16
Provider Portal Updates Effective Immediately 12/13/16
Healthfirst welcomes Access Medicare members 11/16/16
HEDIS Update - Controlling High Blood Pressure 11/16/16
National Drug Code (NDC) Billing—Policy Update 11/07/16
Introducing Healthfirst Outpatient Outlier Project 11/04/16
Teladoc Provider FAQ 11/01/16
Changes to the Member Renewal Process 11/01/16
Changes to Immunizations for Adolescents Measure for HEDIS 2017 11/01/16
Pharmacy Network Update: Provider FAQ 09/30/16
Superior Authorization FAQ 09/01/16
Block Vision Rebranding to Superior Vision and Frequently Asked Questions (FAQ) 08/01/16
Prior Authorization 08/01/16
Provider Manual Amendment: Nursing Home Requirements - Effective 9/1/2016 07/29/16
CVS/Caremark Pharmacy Coverage Determinations and Prior Authorization 07/27/16
The 2016 Americans with Disabilities Act Attestation 06/24/16
Corrected Claims Submissions FAQ 05/10/16
Healthfirst Contracts with Change Healthcare 03/21/16
CMS Medicare Part D Prescriber Enrollment Requirement 03/04/16
FIDA Brochure 02/26/16
Managing Scheduled PCA Hours 02/05/16
Fully Integrated Duals Advantage (FIDA) Program Offers New Flexibility for Providers 01/26/16
 
Our automated phone system is available:
24 hours a day 7 days a week
1-888-801-1660
Live Phone Representatives are available:
Monday - Friday, 8:30am to 5:30pm
1-888-801-1660
New York Claims Submission Address:
P.O Box 958438
Lake Mary, FL 32795

New York Request for Review and Reconsideration:
P.O Box 958438
Lake Mary, FL 32795
Electronic Payor ID: 80141
We can call you