Jan 29, 2026 | Provider News, Provider Resource
The Texas Vendor Drug Program (VDP) has notified managed care organizations that the planned expansion of adult vaccine coverage under the Medicaid pharmacy benefit has been postponed and will not go live on February 2, 2026. This update is related to the October 13,...
Jan 21, 2026 | Provider News, Provider Resource
A strong, arctic cold front is expected this week, beginning Saturday, January 24, and lasting through Monday, January 26. Freezing weather can be dangerous. We want to make sure our community is prepared. Here are some helpful resources. Please share with...
Jan 20, 2026 | Provider News, Provider Resource
Effective February 1, 2026, the Texas Department of Insurance (TDI) will require all applicable health plans to use state‑mandated uniform Coordination of Benefits (COB) questionnaires. Health plans must also accept these forms when submitted by either Providers or...
Jan 7, 2026 | Provider News, Provider Resource
Effective January 1, 2026, and applicable to all Community First Marketplace plans (University Community Care Plan), a patient’s health plan of record at the date of an inpatient admission is responsible for payment of all covered inpatient facility and professional...
Dec 30, 2025 | Provider News, Provider Resource
In accordance with House Bill 3940 (89th Legislature, Regular Session), effective January 1, 2026, Providers are required to distribute updated information regarding Newborn Medicaid Coverage to the parent or caregiver of a newborn child. Key Details: Newborns are...
Dec 17, 2025 | PEMS, Provider News, Provider Resource
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
