Community First Insurance Plans is accepting applications from physicians and providers who wish to participate in its EPO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community First. Providers...
Provider News
Annual Notice to Providers
Community First Health Plans, Inc. is accepting applications from physicians and providers who wish to participate in its Commercial HMO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community...
Updates and Directions in Preparation for Implementation of PEMS Master Provider File Regarding Address Differences
Community First Health Plans would like to inform providers that the effective date for Provider Enrollment and Management System (PEMS) is now May 30, 2025. The collaborative testing between Managed Care Organizations (MCOs) and Health and Human Services Commission...
EVV Compliance Grace Period Ends December 31, 2024
Effective January 1, 2025, the payers, HHSC and MCOs, will begin EVV Usage reviews to ensure state-required personal care services and home health care services, are in compliance with EVV requirements and policies. Payers will begin contract or enforcement action for...
2024 Cost Report and 2024-2025 Accountability Report Training Information
HHSC’s Provider Finance Department (PFD) provided Information Letter No. 2024-15 notifying Providers of the 2024 Cost Report and 2024 and 2025 Accountability Report training schedule. Home and Community-based Services (HCS), Intermediate Care Facilities for...
EVV PSO Operational Readiness Review (ORR) Sessions Updates
The Texas Health and Human Services Commission (HHSC) is notifying program providers and financial management services agencies (FMSAs) that the Texas Medicaid & Healthcare Partnership (TMHP) has published the Proprietary System Operator (PSO) ORR 2025 Onboarding...
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