Dec 27, 2021 | HHSC News, Medicaid Providers
Potentially Preventable Complications (PPCs) are in-hospital complications that develop after hospital admission and may result from processes or treatment during the inpatient stay rather than from natural progression of the underlying illness. A PPC is potentially...
Dec 27, 2021 | Medicaid Providers
As part of our continued Provider experience improvements, Community First is transitioning to a new CES supported by Optum. The new CES will increase clean claim submissions, reduce claim rejections, and expediate claim payment for all providers. In preparation,...
Nov 22, 2021 | Medicaid Providers
Asthma is a chronic inflammatory disease that affects your lungs. Asthma can cause wheezing, shortness of breath, chest tightness and coughing. During an asthma attack, the lungs become irritated and inflamed, making it difficult to breathe. In 2018, Medicaid paid for...
Dec 10, 2021 | Medicaid Providers
Effective for dates of service on or after February 1, 2022, Autism Services, to include Applied Behavior Analysis (ABA) evaluation and treatment, will be a benefit of the Texas Health Steps-Comprehensive Care Program (THSteps-CCP) for Texas Medicaid recipients who...
Oct 1, 2021 | Medicaid Providers
Community First is committed to providing great health care backed by outstanding service, delivered by people who live right here in South Texas. We know that the secret to our success lives with our Providers so we are launching a new secured portal that we hope...
Oct 22, 2021 | Medicaid Providers
Background: HHSC Provider Finance Department contracted with a third-party vendor, Deloitte Consulting, to develop recommendations for a new rate methodology for Assisted Living Facility (ALF). Action and Key Details: MCOs should inform contracted ALF by Oct. 29 that...
