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Important Provider Alerts and Communications

Important Provider Alerts and Communications
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program07/05/17
Provider FAQ: Hemophilia/Blood Clotting Factors07/03/17
Potential for Falsely Low Blood Lead Test Results from Venous Samples Analyzed with LeadCare® Devices06/19/17
Postpartum Maternal Depression Screening: Updated Billing Guidelines05/25/17
UPDATED Transportation Benefit for Medicaid Beneficiaries05/25/17
First Episode Psychosis (FEP) Practice Guidelines05/18/17
Provider Alert LARC and Contraceptive05/15/17
Learn more about Healthfirst EPO plans, Healthfirst Pro EPO and Healthfirst Pro Plus EPO plans04/28/17
Balance Billing of Members is Prohibited04/13/17
Uniform Clinical Network Provider Training04/13/17
SADC Authorization Changes03/24/17
Adult Day Health Care (ADHC) – Authorization Changes03/24/17
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 FAQ03/01/17
LogistiCare Transportation Benefit02/23/17
Reimbursement Policy: Anesthesia Start & End Time02/17/17
Nurse Line Provider Alert02/15/17
National Coverage Determination (NCD) on Medicare Coverage for Hepatitis B Virus (HBV) Screening02/14/17
New Medicare Outpatient Observation Notice (MOON)02/10/17
Provider Portal Online Services 201702/07/17
The Healthfirst Essential Plan FAQs02/06/17
Additional resources for your Healthfirst Medicare Advantage patients who might need financial assistance12/22/16
My Patients Are Turning 65. What Are Their Options?12/20/16
Provider Portal Updates Effective Immediately12/13/16
Healthfirst welcomes Access Medicare members11/16/16
HEDIS Update - Controlling High Blood Pressure11/16/16
Healthfirst Leaf and Essential Plan Specialty Pharmacy Drug List11/10/16
National Drug Code (NDC) Billing—Policy Update11/07/16
Introducing Healthfirst Outpatient Outlier Project11/04/16
Teladoc Provider FAQ11/01/16
Changes to the Member Renewal Process11/01/16
Healthfirst Total and Healthfirst Pro and Pro Plus Plans: FAQ11/01/16
Changes to Immunizations for Adolescents Measure for HEDIS 201711/01/16
Pharmacy Network Update: Provider FAQ09/30/16
Superior Authorization FAQ09/01/16
Block Vision Rebranding to Superior Vision and Frequently Asked Questions (FAQ)08/01/16
Prior Authorization08/01/16
Provider Manual Amendment: Nursing Home Requirements - Effective 9/1/201607/29/16
CVS/Caremark Pharmacy Coverage Determinations and Prior Authorization07/27/16
The 2016 Americans with Disabilities Act Attestation06/24/16
Corrected Claims Submissions FAQ05/10/16
Healthfirst Contracts with Change Healthcare03/21/16
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
NDC Billing Requirements 340b Provider Alert 12/04/15
2016 Coverage Changes: Transportation Services 12/01/15
2016 Coverage Changes: Audiology Services 12/01/15
ICD-10 Coding FAQs11/16/15
Best Practices to Reduce Readmissions09/15/15
2015-2016 School Immunization Update08/27/15
Get Ready for ICD-10!08/04/15
New PCP Change Form07/10/15
CareCore Rebranding to eviCore06/30/15
Changes in Coverage of Genetic Testing Services06/01/15
New Authorization Process through OrthoNet05/15/15
OrthoNet - Frequently Asked Questions (FAQ)05/15/15
CareCore Radiation Therapy Management Program Notice04/30/15
New Payment Policies on Drugs & Bio Agents12/30/14
Healthfirst AbsoluteCare FIDA Medicare-Medicaid Plan12/30/14
Audiology Coverage Updates12/30/14
2015 Healthfirst Diagnostic and Specialty Lab List12/22/14
Healthfirst Maximum Plan (HMO SNP) Ending in 201412/15/14
Urgent Notice on FHP Transition09/25/14
Important Changes in Coverage for Viscosupplementation and Related Codes08/01/14
Affordable Care Act06/06/14
SUNY Long Island College Hospital Closure05/22/14
Notice to Home Health Providers02/07/14
Stars Medication Adherence Reference Guide11/19/13
Caring for Healthfirst SNP Members - LIP and MAX10/10/13
Important Notice for Leaf Plan Providers10/02/13
Healthfirst’s video series about healthcare reform is available here.09/16/13
DME Letter - applies to DME Providers ONLY06/28/13
NHP/Healthfirst Transition Frequently Asked Questions06/01/13
Medicaid Primary Care Enhanced Reimbursement05/31/13
NHP Cutover Letter05/16/13
Pre-payment review of professional claims05/15/13
Healthfirst Provider Alert Complex Cataract Criteria05/03/13
Important Notice: Medicare Advantage Sequestration - For Out of Network Providers ONLY05/01/13
Healthfirst Member Wellness Guide01/31/13
NDC Billing Requirements01/01/13
Medication Therapy Management Program Provider Letter04/16/12
Restricted Recipient Provider Letter12/12/11
What is the Restricted Recipient Program?09/14/11
Personal Care Letter FAQ - Provider08/01/11
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