Aug 7, 2025 | Provider News, Provider Resource
For the latest on claims processing, clinical and updates resources, continuing education, compliance updates, and more, read our Community First 2025 Summer Provider Newsletter, now available on our website. Our Provider Newsletter has curated news specifically for...
Jul 18, 2025 | Provider Resource
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Jul 15, 2025 | Provider News, Provider Resource
HHSC will publish the semi‑annual update to the Texas Medicaid Preferred Drug List (PDL) on July 28, 2025. These changes are based on recommendations from the January 2025 and April 2025 Texas Drug Utilization Review (DUR) Board meetings. The updated PDL and PDL...
Jul 14, 2025 | Provider News, Provider Resource
Beginning September 1, 2025, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service...
Jul 8, 2025 | Provider News, Provider Resource
Texas Health and Human Services Commission (HHSC) will allow Providers to enroll in Texas Medicaid as Rural Emergency Hospitals (REH) effective September 1, 2025. Community First Health Plans will implement the appropriate system and operational change requirements...
Jul 8, 2025 | Provider News, Provider Resource
Community First Health Plans is devastated by the Hill Country floods. Our teams are here to help. Please instruct your patients who are insured by Community First and have special health care needs to contact their assigned Service Coordinator directly or call...
