May 31, 2022 | Community First Providers, Provider Resource
Community First Claim Appeal Form (PDF) Providers have the right to appeal the denial of a claim by Community First Health Plans. To file an appeal, Providers should complete the Community First Claim Appeal Form (linked above). Mail the completed form, a copy of the...
Jul 30, 2024 | Provider Resource
As a participating Provider with Community First Health Plans, it is crucial to adhere to our policies regarding Member billing. This notice serves as a reminder of your obligations and our Members’ rights, particularly concerning balance billing practices....
Jul 25, 2024 | EVV News, Provider Resource
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...
Jul 23, 2024 | Provider News, Provider Resource
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...
Jun 27, 2024 | HHSC News, Provider News, Provider Resource
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...
Jun 25, 2024 | HHSC News, Medicaid Providers, Provider News
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...
