In accordance with House Bill 3940 (89th Legislature, Regular Session), effective January 1, 2026, Providers are required to distribute updated information regarding Newborn Medicaid Coverage to the parent or caregiver of a newborn child. Key Details: Newborns are...
Provider News
Community First Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Over the past several years, Community First Health Plans has been implementing payment policies that reflect guidelines set forth by industry authorities. Our goal is to process claims consistently and in accordance with best practice standards. Starting on...
Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
EVV Impacts Due to Discontinuation of Dual Demonstration Pilot Program
Beginning January 1, 2026, the Health and Human Services Commission (HHSC) will end the Dual Demonstration Program and transition Medicare-Medicaid Plans (MMPs) to integrated Dual Eligible Special Needs Plans (D-SNPs). Members currently enrolled in MMPs will move to a...
Updated COVID-19 Vaccine Availability for Texas Vaccines for Children (TVFC) Providers
The Texas Vaccines for Children (TVFC) program has added the updated 2025–2026 COVID-19 vaccines to the Vaccine Choice page within the Vaccine Allocation and Ordering System (VAOS). Providers should review and update their vaccine choices as needed to ensure continued...
Translation/Interpreter Services for Members
Community First provides free, 24-hour access to interpreter services at no cost for Community First Members with limited English proficiency (LEP) or who use sign language. Interpreters are available in more than 200 languages by request. Please use our...
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