Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 19, 8 P.M. (ET) through Sunday, July 20, 9 A.M. (ET). Note: If the maintenance activities are completed before 9 A.M. (ET), we will end the maintenance early. The following System...
Provider News
Rider 32 Implementation Information
Beginning September 1, 2025, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service...
Rural Emergency Hospitals To Be Recognized As New Provider Type
Texas Health and Human Services Commission (HHSC) will allow Providers to enroll in Texas Medicaid as Rural Emergency Hospitals (REH) effective September 1, 2025. Community First Health Plans will implement the appropriate system and operational change requirements...
Support for Community First Members Impacted By Hill Country Flood
Community First Health Plans is devastated by the Hill Country floods. Our teams are here to help. Please instruct your patients who are insured by Community First and have special health care needs to contact their assigned Service Coordinator directly or call...
Nursing Facility Rate Changes and Program Discontinuation Effective September 1, 2025
The Health and Human Services Commission (HHSC) will be proposing increased Nursing Facility rates, effective September 1, 2025. This increase is pursuant to the 2026-27 General Appropriations Act, Senate Bill 1, 89th Legislature, Regular Session, 2025 (Article II,...
Nursing Facility Liability Insurance Rate Add-On: Annual Attestation Required
The Texas Health and Human Services Commission (HHSC) requires nursing facilities (NF) to submit an annual provider attestation to receive the payment of liability insurance rate add-ons, as per Title 1 of the Texas Administrative Code, Section 355.312, concerning...
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