Sep 2, 2022 | Community First Providers, Providers
Beginning Sept. 1, 2022, Texas Medicaid will designate one medication as the primary preferred direct-acting antiviral (DAA) drug option for treating Hepatitis C infection. HHSC will designate all other DAA drugs on the Medicaid formulary as non-preferred. All...
Aug 23, 2022 | Community First Providers, Medicaid Providers, Providers
Community First Health Plans is now accepting referrals for Familiar Faces, a new program for high utilizers of inpatient and emergency department Behavioral Health Services. Familiar Faces is proposed by the UT Health Department of Psychiatry and Behavioral Sciences...
Aug 10, 2022 | EVV News, Medicaid, Medicaid Providers, Providers
On July 13, 2022, HHSC published Information Letter No. 2022-40. Community First Health Plans is republishing this information at HHSC’s request. The purpose of this notice is to require FMSAs to provide copies of the EVV notices listed below to CDS employers and...
Aug 12, 2022 | Medicaid, Medicaid Providers, Providers
Effective for dates of service on or after June 17, 2022, COVID-19 vaccine administration procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A are benefits of Texas Medicaid and CHIP. HHSC will cover procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A...
Aug 12, 2022 | Medicaid, Medicaid Providers, Providers
The Provider Enrollment and Management System (PEMS) fully deployed on December 13, 2021. The system introduced new business rules for enrollment in Texas Medicaid. Prior to the PEMS implementation, the provider billing effective date could be either the Medicare...
