NY Manual
SHP Manual

New York Provider Manual
16.5 Obstetrical Care | 16.7 Healthfirst Consultation Payment Policy

16.6 Family Planning Services

Healthfirst reimburses for family planning services provided to Healthfirst members. Medicaid members may obtain family planning and reproductive services without a PCP referral from either in-network or out-of-network Medicaid providers. CHP, Leaf Plan, and Leaf Premier Plan members may obtain family planning and reproductive health services through any in-network CHP, Leaf Plan, or Leaf Premier Plan provider without approval from or notification to Healthfirst or their PCP. Healthfirst will not pay claims for Healthfirst CHP, Leaf Plan, or Leaf Premier Plan members seeking family planning and reproductive health services from out-of-network providers.