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MedicaidPrior AuthMedium impact

Concurrent Review Updates for Select Child and Family Treatment and Support Services (CFTSS)

Healthfirst·Pediatrics, Psychiatry·Provider Update
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

This policy provides updated guidance on concurrent review requirements for Children and Family Treatment and Support Services (CFTSS), including reimbursement expansion details and new authorization procedures. Billing teams handling pediatric behavioral health services should review the updated authorization forms and FAQ for changes to approval processes.

Action Required

Action needed
Immediately: Review the provider alert for reimbursement expansion details and updated FAQ. Update authorization request procedures using the new Continuing Authorization Request Form for Children and Family Treatment Supports Service. Ensure billing staff are trained on any new concurrent review requirements for CFTSS claims.

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