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Attention Community First Providers:

You may begin collecting CHIP COVID-19 co-pays on October 1, 2024.

During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and treatment for Children’s Health Insurance Program (CHIP) members. This waiver will end on September 30, 2024.

For CHIP COVID-19 vaccines, testing, and treatment scheduled on or after October 1, 2024, you may begin collecting co-pays. You may not charge co-pays for mental health and substance use disorder outpatient office visits.

Co-pays have been permanently removed for mental health and substance use disorder outpatient office visits to comply with federal regulations.

CHIP co-pays that members must pay are determined based on their income. CHIP co-pays do not apply to Native Americans, Alaska Natives, CHIP Perinate and CHIP Perinatal newborn members.

Providers must adhere to co-pay guidelines outlined in the Community First Health Plans CHIP Provider Manual. If you have any questions, please contact Provider Relations at 210-358-6294 or email ProviderRelations@cfhp.com.

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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