As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
As part of the transformation of the Health and Human Services (HHS) system, rule chapters are being relocated in the Texas Administrative Code (TAC). Effective September 1, 2024, rules in 40 TAC Social Services and Assistance, Part 1, Department of Aging and...
The HHSC Provider Finance Department provided the Information Letter No. 2023-44 Cost Report and 2023 and 2024 Accountability Report Training Information. CPC (Primary Home Care [PHC], Community Living Assistance and Support Services [CLASS], Direct Service Agency...
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...
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...
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...
Community First Members affected by severe weather can contact Member Services at 1-800-434-2347 for support. If you have special health care needs and need assistance, please contact your assigned Service Coordinator directly.
