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...
The Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and Management System (PEMS) is coming soon. PEMS Portal Effective December 13, 2021 Provider enrollment functions will be available through PEMS, and providers must usethe new system to...
Asthma is a chronic inflammatory disease that affects your lungs. Asthma can cause wheezing, shortness of breath, chest tightness and coughing. During an asthma attack, the lungs become irritated and inflamed, making it difficult to breathe. In 2018, Medicaid paid for...
Effective for dates of service on or after February 1, 2022, Autism Services, to include Applied Behavior Analysis (ABA) evaluation and treatment, will be a benefit of the Texas Health Steps-Comprehensive Care Program (THSteps-CCP) for Texas Medicaid recipients who...
