Feb 9, 2023 | Medicaid News, Member News
After a three year pause due to the COVID-19 Public Health Emergency, Texas Health and Human Services Commission (HHSC) is restarting eligibility reviews. If you have Medicaid or CHIP, take these steps to find out if you can keep your coverage. Make sure HHSC has your...
May 6, 2025 | PEMS, Provider News
Community First Health Plans is requiring Providers to ensure their information is aligned across the Provider Enrollment and Management System (PEMS) Master Provider File effective May 30, 2025. As a Managed Care Organization (MCO), Community First Health Plans will...
Apr 30, 2025 | Community First Blog
Mother’s Day is just around the corner! If you’re looking for ways to celebrate mom (beyond breakfast in bed), you’ve come to the right place. We’ve put together a list of free local Mother’s Day events and activities in and around San Antonio that are sure to make...
Apr 30, 2025 | HHSC News, Member News, Member Resource
The Texas Health and Human Services Commission is recognizing May as Mental Health Awareness Month by hosting a series of informative webinars and promoting resources available to Texans. The Mental Health Awareness Webinar Series is free and open to the public,...
Apr 29, 2025 | Provider News, Provider Resource
Updates made to the Sleep Studies Medicaid Policy will become effective for date of service on or after March 1, 2025. Benefit information will be updated in the Texas Medicaid Provider Procedures Manual (TMPPM), Medical and Nursing Specialists, Physicians, and...
Apr 24, 2025 | Provider News, Provider Resource
Effective for dates of service on or after March 1, 2025, influenza vaccine procedure code 90661 is a benefit of the Healthy Texas Women (HTW) program. Procedure code 90661 may be reimbursed for the following provider types and places of service: Administration for...
Apr 24, 2025 | PEMS, Provider News, Provider Resource
Healthy Texas Women (HTW) providers who intend to begin or continue delivering HTW services must complete their annual recertification process. The deadline for 2025 program year recertification has been extended to April 30, 2025. As part of this process, Providers...
Apr 21, 2025 | HHSC News, Provider News, Provider Resource
HHSC published Information Letter No. 2024-15 regarding the 2024 Cost Report and 2024 and 2025 Accountability Report Training Information. Preparers must attend cost report training for every program for which a cost or accountability report is submitted. If a...
Apr 15, 2025 | HHSC News, PEMS, Provider News
Beginning May 30, 2025, the Provider Enrollment and Management System (PEMS) will be enhanced to streamline the process for Texas Medicaid enrollment and credentialing with Community First Health Plans, Inc. (Community First). This new feature will allow Providers to...
Apr 7, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal that starts at 5:00 P.M. (ET) on Saturday, April 12, 2025, and ends at 8:00 A.M. (ET) on Sunday, April 13, 2025. Note: We will end the maintenance early if the activities are completed...
Apr 1, 2025 | HHSC News, Provider News, Provider Resource
Community First is pleased to invite our network of Texas Health Steps Providers to attend the 7th Annual Texas Health Steps Spring Conference on Thursday, April 17, 2025. This event offers an exceptional opportunity to enhance your expertise while earning continuing...