Medicare AdvantageAdministrativeMedium impact
Billing Guidance for Dual-Eligible Special Needs Plan (D-SNP) Members Under Healthfirst’s Plans
Healthfirst·Provider Update
We identified it
Jun 20, 2026
Summary
Healthfirst has issued new billing guidance for Dual-Eligible Special Needs Plan (D-SNP) members, specifically for their Life Improvement Plan (HMO D-SNP) that combines Medicare Advantage and Medicaid benefits. This policy provides updated billing information to ensure compliance with state and national industry standards for members who have both Medicare and Medicaid.
Action Required
Immediately: Billing team should access the full alert at the provided URL (https://hfproviders.org/whatsnew/billing-guidance-for-dual-eligible-special-needs-plan-d-snp-members-under-healthfirsts-plans) to review complete billing guidance for Healthfirst D-SNP members. Update billing procedures and staff training to ensure proper handling of dual-eligible members with both Medicare Advantage and Medicaid coverage.