Mar 10, 2026 | Provider News, Provider Resource
A healthier Member is our goal, and it starts with reliable transportation. Community First Health Plans partners with SafeRideHealth to provide an improved Member experience through their transportation benefit program. Non-emergency medical transportation (NEMT)...
Mar 9, 2026 | Provider Resource
Managing asthma in children requires collaboration between health care providers, parents, and caregivers. ALL children with asthma should have an Asthma Action Plan filled out by their health care provider. As a reminder, the South Texas Asthma Coalition (STAC)...
Mar 4, 2026 | Provider Resource
Use the NEW Community First Provider Quick Reference Guide to easily access information providers use most, including: Provider Services contact information Authorizations fax numbers Claims information This guide makes it easier to navigate key operational processes...
Mar 4, 2026 | Provider News, Provider Resource
The Centers for Medicare & Medicaid Services (CMS) has released an updated Medicare Outpatient Observation Notice (MOON) following approval by the Office of Management and Budget (OMB). The updated form is valid for three years and includes improvements to...
Feb 25, 2026 | PEMS, Provider News, Provider Resource
Read about the Revised Implementation Timeframes of CLIA Certification Data here. All Providers who perform or bill laboratory services must comply with the Clinical Laboratory Improvement Amendments (CLIA). To meet these requirements, Providers must have an active...
Feb 26, 2026 | PEMS, Provider News, Provider Resource
Beginning December 1, 2025, HHSC is requiring a phased approach to claim edits related to CLIA certification Data: Soft Edit Period (No later than March 1, 2026) A soft edit will be implemented to help providers correct CLIA information that does not match the PEMS...