The purpose of this communication is to inform providers of new state requirements under House Bill (H.B.) 44 (88th Legislature, Regular Session, 2023). Effective April 29, 2025, the Texas Health and Human Services Commission (HHSC) adopted new rules that prohibit...
Provider News
ProgenyHealth Provider Training Resource for UM and Case Management
On September 24, 2025, ProgenyHealth hosted a virtual training session for Community First Health Plans Providers to introduce the new utilization management process for STAR Medicaid NICU admissions and case management services. This training was recorded and is now...
EVV Alternative Device Policy Changes Effective September 2, 2025
Community First Health Plans would like to inform Providers that the Texas Health and Human Services Commission (HHSC) posted new and revised policies for alternative device reduction reviews on HHSC's Electronic Visit Verification (EVV) webpage. The policies are...
November TMPPM Update: THSteps OEFV Requirements for Certified Providers
The Texas Medicaid & Healthcare Partnership (TMHP) has announced an upcoming update to the Texas Medicaid Provider Procedures Manual (TMPPM), specifically within the Children’s Services Handbook, Section 4.3.13.1 – “Oral Evaluation and Fluoride Varnish (OEFV) in...
Payspan Portal Production Maintenance – Saturday, September 20, 8:00 P.M. (ET) through Sunday, September 21, 9:00 A.M. (ET)
Zelis® will have a maintenance window for the Payspan Portal Saturday, September 18th at 8 P.M. (ET), with an expected duration of up to 13 hours, please note that Core systems will be unavailable from 8 P.M. (ET) on September 20th through 9 A.M. (ET) on September...
FMSA SFY 2024 Cost Survey Collection Begins September 1, 2025
HHSC will begin collecting cost surveys for the state fiscal year (SFY) 2024 on September 1, 2025. The purpose of the cost survey is to collect Financial Management Services Agency (FMSA) costs for SFY 2024 for all FMSAs in Texas. This cost information will be used in...
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