Use the NEW Community First Provider Quick Reference Guide to easily access information providers use most, including: Provider Services contact information Authorizations fax numbers Claims information This guide makes it easier to navigate key operational processes...
Provider News
Updated Medicare Outpatient Observation Notice (MOON)
The Centers for Medicare & Medicaid Services (CMS) has released an updated Medicare Outpatient Observation Notice (MOON) following approval by the Office of Management and Budget (OMB). The updated form is valid for three years and includes improvements to...
Revised Implementation Timeframes of CLIA Certification Data
Beginning December 1, 2025, HHSC is requiring a phased approach to claim edits related to CLIA certification Data: Soft Edit Period (No later than March 1, 2026) A soft edit will be implemented to help providers correct CLIA information that does not match the PEMS...
Update: Laboratory Services Require Updated CLIA Certification in PEMS
Read about the Revised Implementation Timeframes of CLIA Certification Data here. All Providers who perform or bill laboratory services must comply with the Clinical Laboratory Improvement Amendments (CLIA). To meet these requirements, Providers must have an active...
New DSHS Resources to Support Congenital Syphilis Prevention and Care
Texas continues to see rising rates of congenital syphilis, highlighting the continued vigilance in prenatal care. Early screening, timely diagnosis, and appropriate treatment during pregnancy are critical to preventing transmission and improving outcomes for infants....
Payspan Portal Production Maintenance – Saturday, February 14, 5:00 P.M. (ET) through 8:00 P.M. (ET)
Dear Valued Zelis® Customer: Zelis® is utilizing a maintenance window for the Payspan Portal from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, February 14, 2026. Note: We will end the maintenance early if the activities are completed by 8:00 P.M. (ET)....
