Healthfirst providers are set to embark on a new journey as in-network providers for EyeMed Vision Care® starting January 1, 2024. This collaboration brings together two entities dedicated to enhancing vision care services for Healthfirst New York members. Below, we outline essential information for Healthfirst providers entering this partnership.
About Healthfirst Members: Commercial, Medicare, and Medicaid
As a Healthfirst provider, you may encounter members from various plans, including Commercial, Medicare, and Medicaid. It’s crucial to familiarize yourself with the unique aspects of serving each category of members. Learn more about the distinctive features and requirements associated with Commercial, Medicare, and Medicaid members to ensure comprehensive and tailored care.
Medicaid Requirements: Frame Selections, Lab Ordering, Claims, and Lenses/Contact Lenses
Providers engaging with Medicaid members must adhere to specific requirements governing frame selections, lab ordering procedures, claims processing, and the provision of lenses/contact lenses. Understanding and complying with these Medicaid-specific guidelines will contribute to seamless interactions with Healthfirst members enrolled in Medicaid plans.
Medical Optometry Requirements: Prior Authorizations and Claim Filing
Medical optometry providers within the Healthfirst network have unique obligations related to prior authorizations and claim filing. Delve into the nuances that differentiate routine and medical optometry claim filing processes. This knowledge will empower medical optometry providers to navigate Healthfirst’s requirements effectively.
Provider Manuals: Comprehensive Guides for Healthfirst Providers
For a comprehensive understanding of Healthfirst’s specific requirements, providers are encouraged to consult the 2024 Provider Manual. Additionally, there is a dedicated New York Medicaid Provider Manual offering insights tailored to Medicaid providers.
Discover more from Doctor Trusted
Subscribe to get the latest posts sent to your email.
