MedicaidCoverageMedium impact
Behavioral Health Benefit Carve-in to Medicaid Advantage Plus Plans
Healthfirst·NY · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Update
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
New York State is integrating additional Behavioral Health services into Medicaid Advantage Plus (MAP) plans, including Healthfirst's CompleteCare plan, effective January 1, 2023. This carve-in means behavioral health services will now be covered under the MAP plan rather than through separate behavioral health vendors.
Action Required
Immediately: Billing team must verify behavioral health claims for Healthfirst CompleteCare (MAP) members are being submitted directly to Healthfirst rather than separate behavioral health vendors. Update billing system to route behavioral health services for MAP members correctly. Review Provider Alert and FAQ documents linked in the policy for specific billing procedures and requirements.