If you are a health care professional who provides care to special needs plan (SNP) members contractually or routinely, the Centers for Medicare & Medicaid Services (CMS) requires you to complete initial and annual Model of Care (MOC) training. This requirement...
Program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers who are transitioning to HHAeXchange, are responsible for completing all required visit maintenance, including Visit Maintenance Unlock Requests (VMURs),...
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...
Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
For Providers who do not have their own clearing house for claims submissions, Community First offers two single-claim submission options at no cost to members of our Provider Network: Availity and Claim MD, both accessible through the Community First Provider Portal....
UT Health Confianza is providing COVID-19 Health Literacy ECHO sessions to share up-to-date information about COVID-19 to local providers. ECHO Sessions will include didactics followed by participant presentations of real-life situations and group discussion to share...
