Apr 21, 2026 | Provider Resource
Community First Health Plans is providing clarification on the appropriate use of laboratory modifiers 59 and 91. These modifiers are valid for many laboratory services and may be required when multiple laboratory services described by a single CPT® code are performed...
Jul 23, 2026 | Provider News, Provider Resource
Community First Health Plans is sharing information regarding updates to the Healthy Texas Women (HTW) program pharmacy benefit that became effective July 1, 2026. HTW provides women’s health and family planning services to eligible women, while HTW Plus offers...
Jul 20, 2026 | Provider News, Provider Resource
Effective August 3, Community First Health Plans will enhance the existing claims processing program to improve the overall accuracy of claim processing in partnership with Cotiviti. We want to share this information in advance, so you are prepared for the upcoming...
Jul 17, 2026 | Provider News, Provider Resource
Community First Health Plans is sharing information regarding the Texas Medicaid Preferred Drug List (PDL) update scheduled for July 24, 2026. The update reflects recommendations from the January and April 2026 Texas Drug Utilization Review (DUR) Board meetings. The...
Jul 15, 2026 | Provider News, Provider Resource
Effective June 2, 2025, there will be a change in reimbursement for the following High-CostClinician-Administered Drugs (HCCAD): HCCADsProcedure...
Jul 3, 2026 | Provider News, Provider Resource
The Community First Summer 2026 Provider Newsletter is now available. This issue features important updates, compliance guidance, Provider Portal enhancements, care coordination resources, quality initiatives, and clinical tools designed to support your practice and...
