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.
Receive updates in your email
What's New
View allInstructions 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 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 post835/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 March 22, 2024)
View postThe 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.
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.
View postMedicare CAHPS Season is March to June
Here’s what you need to know about the annual Consumer Assessment of Healthcare Providers & Systems (CAHPS) survey.
View postMobile Crisis and Crisis Residence Service Changes
To improve access to crisis care, New York State received federal approval to consolidate and align its Mobile Crisis and Crisis Residence services. These Crisis Intervention State Plan Amendment (SPA) changes will start March 1, 2024.
View postReceive updates in your email
Provider Resources
Provider Alerts
Coding
Plans & Benefits