NY Manual
SHP Manual

New York Provider Manual
16.3 Healthfirst Quality Incentive Program | 16.5 Obstetrical Care

16.4 Specialty Care and Specialists

Specialty care providers, including HIV specialist PCPs, are compensated on a fee-for-service basis. Mental Health providers are reimbursed at the APG rate for services to Medicaid and Leaf Plan members, and are reimbursed according to a set fee schedule for Healthfirst Medicare members. Substance Use Disorder(SUD) providers are reimbursed according to a set fee schedule.