UPDATE: See updated Rider 32 Implementation here. Community First Health Plans would like to inform Providers that effective September 1, 2025, House Bill 1, Article II, Rider 32 (88th Legislature, Regular Session, 2023) will be implemented. Rider 32 mandates Texas...
Provider News
Prescribing Providers: Complete the Texas Prescription Monitoring Program Survey by May 30
The Texas Prescription Monitoring Program (PMP) survey for prescribing providers is now open. This survey is required for providers who prescribe controlled substances and helps the Texas Health and Human Services Commission (HHSC) collect the data needed to meet...
Provider Credentialing in PEMS Postponed
The Texas Health and Human Services Commission (HHSC) has postponed the planned update to the Provider Enrollment and Management System (PEMS) that would enable provider credentialing. This functionality will be added later in 2025. More information will be published...
Provider Enrollment and Management System (PEMS) Frequently Asked Questions May 2025
Community First Health Plans is requiring Providers to ensure their information is aligned across the Provider Enrollment and Management System (PEMS) Master Provider File effective May 30, 2025. As a Managed Care Organization (MCO), Community First Health Plans will...
Sleep Studies Policy to be Updated Effective March 1, 2025
Updates made to the Sleep Studies Medicaid Policy will become effective for date of service on or after March 1, 2025. Benefit information will be updated in the Texas Medicaid Provider Procedures Manual (TMPPM), Medical and Nursing Specialists, Physicians, and...
Influenza Vaccine Procedure Code 90661 a Benefit for HTW Effective March 1, 2025
Effective for dates of service on or after March 1, 2025, influenza vaccine procedure code 90661 is a benefit of the Healthy Texas Women (HTW) program. Procedure code 90661 may be reimbursed for the following provider types and places of service: Administration for...
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