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Plans & Benefits - Provider Resources - 2024
The Essential Plan at a Glance

Federally subsidized plans for individuals who are ineligible for Medicaid due to income or immigration status.

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Healthfirst Plans
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Article 29-I Health Facility

Voluntary Foster Care Agencies (VFCA) Reference Guide

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Administration
  
Quality Program Resources - Patient Care Resources - Plans & Benefits - Provider Resources - 2024
2024 Special Needs Plan (SNP) Model of Care (MOC) Provider Training

This presentation will help educate providers, delegated vendors, and appropriate staff on the Healthfirst Special Needs Plan (SNP) Model of Care (MOC), the goal of Healthfirst Special Needs Plan (SNP) Model of Care (MOC) is to enhance member health outcomes through the use of an integrated care delivery system. This presentation provides an overview of the Special Needs Plan, how the Model of Care works, and the roles and responsibilities of Care Coordinators and Providers.

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Special Needs Plan
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Medicaid Managed Care

A New York State-sponsored Medicaid plan for low-income individuals, families, and children.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Personal Wellness Plan (PWP)

For Medicaid beneficiaries with serious mental health illness and/or substance use disorders.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Child Health Plus (CHPlus)

A New York State-sponsored health plan for individuals under the age of 19.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Increased Benefits Plan (HMO)

A Medicare Advantage plan for eligible Medicare beneficiaries who qualify for Extra Help (also known as Low Income Subsidy), which helps people with Medicare pay fewer drug costs.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Signature (PPO)

A Medicare Advantage plan with the option to see out-of-network providers without a referral and/or prior authorization.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Signature (HMO)

A Medicare Advantage plan that allows members to select only the benefits they need.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Life Improvement Plan (HMO D-SNP)

A Medicare Advantage special needs plan for individuals who are eligible for Medicare and Medicaid.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - CompleteCare (HMO D-SNP)

A Medicaid Advantage Plus plan that combines Medicare and Medicaid benefits with long-term care services.

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At a Glance
  
Plans & Benefits - Practice Guidelines and Tips - 2024
Healthfirst at a Glance - Connection Plan (HMO D-SNP)

A Medicare Advantage dual-eligible special needs plan that coordinates coverage for those who are newly Medicare-eligible and enrolled in our Medicaid Managed Care plan pursuant to the Centers for Medicare & Medicaid default enrollment process.

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At a Glance
  
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