Aug 7, 2026 | Member News
Community First Health Plans, Inc. (“Community First”) recently experienced a data security incident that affected the personal information, including protected health information, of a limited group of Community First members. Community First has mailed a...
Aug 7, 2026 | Provider News, Provider Resource
Community First is sharing important information from the Texas Medicaid & Healthcare Partnership (TMHP) regarding updated TMHP IAMOnline training materials and changes to the planned transition of the Custom Reports portal. TMHP IAMOnline is the new entry point...
Aug 3, 2026 | Provider News, Provider Resource
Effective January 1, 2027 The American Medical Association (AMA) has released significant revisions to the CPT® Maternity Care Services section that will become effective January 1, 2027. These changes affect how maternity care services are reported and include the...
Jul 17, 2026 | Provider News
Community First Health Plans is sharing important information from the Texas Medicaid & Healthcare Partnership (TMHP) regarding the continued transition of Provider applications to TMHP IAMOnline. Effective August 3, 2026, TMHP will add additional online portal...
Jun 29, 2026 | Community First Blog
✏️🍎 Start the new school year on the right foot! Mark your calendar for one of these local back-to-school events near you and get needed school supplies, giveaways, resources, and information to help prepare your student for a successful year. Be sure to check out...
Jun 8, 2026 | Provider News, Provider Resource
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...
Jun 8, 2026 | Provider News, Provider Resource
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,...
Jun 18, 2026 | HHSC News, Provider News, Provider Resource
Community First Health Plans is providing guidance on billing requirements for services performed by a Qualified Rehabilitation Provider (QRP) related to wheeled mobility system and wheelchair seating assessments and fittings. Proper adherence to these billing...
Jun 24, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on billing and reimbursement requirements for implantable devices for both inpatient and outpatient hospital services. Proper coding and documentation are required to ensure accurate claims processing and to avoid...
Apr 28, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on coverage and billing requirements for lung cancer screening with low‑dose computed tomography (LDCT). Proper coding and claims submission support accurate claims processing and compliance with Centers for Medicare...
