Community First Health Plans (CFHP) has partnered with Option Care Women’s Health to assist our high-risk obstetrical member members. Option Care Women’s Health provides quality high-risk obstetrical care delivered by specialized nurses for management of hyperemesis...
On Oct. 25 the Texas Department of State Health Services (DSHS) Laboratory reported that the Laboratory Web Portal application for public health microbiology and clinical chemistry results experienced unexpected technical difficulties and is currently shutdown. On...
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ...
Background:MCOs were notified in the Aug. 12 MCO Notice that HHSC requested to delay the Jan. 1, 2020 EVV start date for the programs, services, and service delivery options affected by the 21st Century Cures Act.Key Details: The Centers for Medicare and Medicaid...
Effective June 1, 2019, Community First Health Plans (CFHP) implemented a new core claim processing platform called QNXT. To facilitate data transfer to the new system, all active Members in the legacy system, Amisys, were terminated on May 31, 2019. Upon transfer,...
Effective October 15, 2019, CFHP will require Providers to use a physical address when submitting claims. Due to HHSC requirements, the use of P.O. Box addresses will not be allowed as a billing address.If you have questions regarding this communication update, please...