MedicaidCoverageMedium impact
Electronic Consultation (eConsult) Reimbursement
Healthfirst·Provider Update
Effective date
Jun 1, 2024
We identified it
Jun 20, 2026
Summary
Healthfirst now covers electronic consultations (eConsults) for members enrolled in Medicaid Managed Care, Personal Wellness Plan (HARP), Medicare Advantage, and Managed Long-Term Care plans effective June 1, 2024. This expands reimbursement opportunities for providers offering electronic consultation services.
Action Required
Immediately: Billing team should review the provider alert at hfproviders.org for specific reimbursement details and billing procedures for eConsults. Update billing system to process eConsult claims for Healthfirst Medicaid Managed Care, HARP, Medicare Advantage, and Managed Long-Term Care members. Train providers on documentation requirements for electronic consultations.