HHSC will transition certain COVID-19 flexibilities related to teleservices to interim guidance in line with House Bill (H.B.) 4 (87th Legislature, Regular Session, 2019) that becomes effective in FFS beginning February 1, 2022. HHSC also created a website for...
HHSC is hosting a live Electronic Visit Verification webinar Jan 21. For Financial Management Services Agencies and Consumer Directed Services Employers required to use EVV. This webinar: Will discuss EVV compliance requirements and reviews.Will include question and...
Potentially Preventable Complications (PPCs) are in-hospital complications that develop after hospital admission and may result from processes or treatment during the inpatient stay rather than from natural progression of the underlying illness. A PPC is potentially...
As part of our continued Provider experience improvements, Community First is transitioning to a new CES supported by Optum. The new CES will increase clean claim submissions, reduce claim rejections, and expediate claim payment for all providers. In preparation,...
Community First Health Plans is now partnering with DispatchHealth to bring same-day, acute medical care to patients’ homes for urgent illnesses and injuries that do not demand an ER visit. This in-network service is only available for select Members who have received...
HHSC allows an MCO to take enforcement actions against State-Required Personal Care Services providers, including those who are not in compliance with EVV Landline Phone Verification requirements, as described in the EVV Compliance Oversight Review Policy- Effective...
