Back to dashboard
MedicaidBilling CodesMedium impact

Personalized Recovery Oriented Services (PROS) Redesign

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

Summary

Healthfirst is redesigning their Personalized Recovery Oriented Services (PROS) program, affecting Medicaid, Personal Wellness Plan (HARP), Connection Plan (CNX), and Complete Care (CC) plans. The redesign includes changes to PROS rates and billing code modifications for behavioral health services.

Action Required

Action needed
Immediately: Visit https://hfproviders.org/whatsnew/personalized-recovery-oriented-services-pros-redesign to review the complete PROS redesign details including new rates and code changes. Billing team must update system with new PROS billing codes and reimbursement rates for Healthfirst Medicaid, HARP, CNX, and Complete Care plans. Update encounter forms and notify providers of any documentation requirements.

Related policy hubs