Electronic Funds Transfer (EFT) Fraud Scheme
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key...
A Party (and a Health Plan) With a Purpose
It’s April, which officially means it’s FIESTA time! If you’re from San Antonio, you probably are quite familiar with the huge city-wide event that brings us all together to celebrate our heritage, culture, history, and diversity. But did you know there’s a...Community First Health Plans Celebrates Trailblazing Women Leaders in Managed Care
San Antonio, TX (March 21, 2025) – In honor of Women’s History Month, Community First Health Plans proudly celebrates the transformative leadership of women in hospital owned, managed district health plans. At the helm of these organizations are Theresa Rodiguez...Payspan Portal Production Maintenance – Saturday, March 22, 8:00 P.M. (ET) through Sunday, March 23, 9:00 A.M. (ET)
Zelis® is utilizing a maintenance window for the Payspan Portal that starts at 8:00 P.M. (ET) on Saturday, March 22 through Sunday, March 23, 9:00 A.M. (ET). Note: We will end the maintenance early if the activities are completed before 9:00 A.M. (ET). The following...Register for the March 27 Provider Enrollment Town Hall Meeting
The Texas Health and Human Services Commission (HHSC) is hosting a Provider Enrollment Town Hall Meeting on Thursday, March 27, from 9:00 a.m. to 10:30 a.m. Central Time. This virtual event will feature a presentation on key provider enrollment topics,...Doctor’s Office vs. Urgent Care vs. ER
It never fails. Friday at 5 p.m., your little one spikes a fever, just after the doctor’s office closes. Or you wake up Sunday morning with chills and an awful headache. Sickness and medical emergencies don’t follow a 9 to 5 schedule. It’s important...Reimbursement Update for High-Cost Clinician-Administered Drugs (HCCADs)
Effective June 2, 2025, there will be a change in reimbursement for the following High-CostClinician-Administered Drugs (HCCAD): · ABECMA· BREYANZI· CARVYKTI· CASGEVY· ELEVIDYS· HEMGENIX· KYMRIAH· LYFGENIA· ROCTAVIAN· SKYSONA· TECARTUS· YESCARTA· ZOLGENSMA· ZYNTEGLO...NEW! SafeRide Health To Provide Transportation Services for Community First Medicaid and Medicare Members Beginning April 1
A healthier Member is our goal, and it starts with reliable transportation. Effective April 1, 2025, Community First Health Plans will partner with SafeRide Health to improve the Member experience through their transportation benefit program. Non-emergency medical...
Spring Break 2025 – Local, Family-Friendly Fun!
Spring break is almost here! San Antonio comes alive in the spring with markets, festivals, interactive art, camps, and more fun for the whole family (including dogs)! We’ve rounded up the best local events for family fun during spring break in San Antonio. Most...