The purpose of Members having a secondary insurance payor is to reduce the Members’ costs associated with their responsibility after the primary insurance payor has adjudicated the claim. When Members have primary coverage through another payor, Community...
With Zelis’ recent acquisition of Payspan, Community First Health Plans, Inc. (Community First) will transition to the Zelis Payments Network effective August 1. As a result, you will need to take the following steps to enroll to receive electronic payments. ...
In response to the recent severe weather, HHSC is issuing the following guidance for EVV program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers. Key Details: All service delivery for an EVV-required service...
Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...
The purpose of this communication is to assist Community First Health Plans, Inc. (Community First) STAR+PLUS contracted providers with billing nursing facility claims. This update provides instructions and answers to frequently asked questions by nursing facility...
Attention Community First Providers: You may begin collecting CHIP COVID-19 co-pays on October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and treatment for...