Community First Health Plans is sharing guidance from the Texas Health and Human Services Commission (HHSC) regarding emergency preparedness for the Atlantic hurricane season, which runs from June 1 through November 30. Providers are encouraged to review and update...
Provider News
TMHP IAMOnline Activation Email Sent June 8 and 15, 2026
Community First Health Plans is sharing important information regarding TMHP IAMOnline account activation for Texas Medicaid providers. TMHP IAMOnline is the new entry point for accessing applications on the TMHP webpage and is required to manage services, access...
Inpatient Claims Exceeding $10 Million – Billing Requirements
Community First Health Plans (Community First) is providing guidance on the proper billing of inpatient claims totaling $10 million or more. To ensure accurate claims processing, inpatient claims that exceed $10 million must be split into multiple submissions (interim...
Modifier 25: Correct Use and Coding Guidance for Preventive and Acute Care Services
Community First Health Plans is providing guidance on the appropriate use of Modifier 25 when reporting evaluation and management (E/M) services performed on the same date as a preventive medical visit. Proper use of Modifier 25 supports accurate claims processing,...
Modifier 26: Correct Use and Coding Guidance for Diagnostic Services (Professional Component)
Community First Health Plans is providing guidance on the appropriate use of Modifier 26 (Professional Component) when billing for diagnostic services. Proper use of Modifier 26 supports accurate claims processing, compliance with CMS billing guidelines, and reduces...
Important: New TMHP Login Process for All Texas Medicaid Providers – Action Required
Community First Health Plans is sharing information regarding TMHP’s implementation of a new login platform, TMHP IAMOnline, which will serve as the single sign‑on entry point for Texas Medicaid Provider portal applications. What Providers Need to Do: Follow the...
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