In response to the COVID-19 public health emergency, HHSC waived copayments for office visits beginning in March 2020. To comply with the Mental Health Parity and Addiction Equality Act (Pub. L. 110-343), HHSC is prohibiting co-payments for CHIP Mental Health and...
Community First will not be requiring authorization for behavioral health services that are managed by and billed by the patient’s PCP. This is part of the Collaborative Care Model (CoCM). Senate Bill 672, 87th Legislature, Regular Session, 2021 directed HHSC to...
There will be revisions to the Electronic Visit Verification (EVV) Policy Handbook, these revisions will publish and be effective on Sept. 1, 2022. The handbook includes EVV standards and policy requirements for: Program Providers Financial Management Services...
On April 26, 2022, HHSC posted a competitive solicitation on the Electronic State Business Daily for EVV System Management Services. Contractor responsibilities will include: Providing and managing a single EVV vendor systemReview and approval of provider-operated EVV...
Beginning December 21, 2022, Community First Health Plans will provide COVID-19 vaccines, COVID-19 test kits, and COVID-19 treatments without imposing copayments. This complies with the American Rescue Plan Act’s (ARPA) amendment to Sections 2103(c)(11)(B) and...
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...
