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 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...
Feb 25, 2026 | Provider News, Provider Resource
Texas continues to see rising rates of congenital syphilis, highlighting the continued vigilance in prenatal care. Early screening, timely diagnosis, and appropriate treatment during pregnancy are critical to preventing transmission and improving outcomes for infants....
Nov 1, 2023 | HHSC News, Provider News, Provider Resource
Community First Health Plans does not accept eligibility requests via any clearinghouse. To verify Member eligibility, refer to our comprehensive Provider Quick Reference Guide and get in touch with the Member Services department corresponding to your specific line of...