Provider News

THIS INFORMATION APPLIES TO PROVIDER REFUNDS ONLY.If you believe you have received an overpayment from Community First Health Plans or we have identified an overpayment and requested a refund, please submit the following : A check issued to Community First Health...

The information below outlines Community First Health Plans, Inc. and Community First Insurance Plans (Community First) requirements for identifying, applying, and maintaining preauthorization exemptions, including correct claim submission procedures and documentation...

TMHP is aware that some newly issued Texas Medicaid patient control numbers (PCNs) appear as ineligible in certain TMHP systems. Providers that have a client with a Medicaid PCN that begins with a “9” should check the Medicaid Client Portal to verify eligibility. This...

Community First Health Plans is currently conducting its annual Provider Satisfaction Survey as part of ongoing quality improvement efforts. A random sample of Providers will be selected to participate. The survey gathers feedback on your experience working with...

A healthier Member is our goal, and it starts with reliable transportation. Community First Health Plans partners with SafeRideHealth to provide an improved Member experience through their transportation benefit program. Non-emergency medical transportation (NEMT)...