MedicaidCoverageMedium impact
Children and Family Treatment and Support Services (CFTSS)
Healthfirst·NY · Psychiatry, Pediatrics, Family Medicine·Provider Update
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Healthfirst now covers six Children and Family Treatment and Support Services (CFTSS) for Medicaid members under age 21, including behavioral health services like crisis intervention, psychosocial rehabilitation, and peer support. These services require no prior authorization, notification, or concurrent review, simplifying the billing process.
Action Required
Immediately: Billing team should familiarize themselves with the six CFTSS services available to Healthfirst Medicaid members under 21. Update billing workflows to reflect that no prior authorization, notification, or concurrent review is required for these behavioral health services. Contact appropriate Behavioral Health Account Manager by territory for specific billing guidance and access to Provider Portal if needed.