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Prior Authorization Guidelines for Select Services Effective February 1, 2026

Healthfirst·Prior Authorization
Effective date
Feb 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

New prior authorization guidelines will take effect February 1, 2026 for select services. This policy appears to establish or modify prior authorization requirements, though specific details about which services require authorization are not provided in the available information.

Action Required

Action needed
Before February 1, 2026: Billing and clinical teams must review the full policy document at https://hfproviders.org/whatsnew/prior-authorization-guidelines-for-select-services-effective-february-1-2026 to identify specific services requiring prior authorization. Update billing system workflows, encounter forms, and staff training materials based on the detailed requirements in the complete policy.

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