In August 2021, Community First Health Plans announced its newest addition to its family of health care plans: Medicare Advantage Alamo (HMO) Plan (HMO). Designed to serve the health care needs of seniors in Bexar County ages 65+, Medicare Advantage Alamo (HMO) Plan...
In August 2021, Community First Health Plans announced its newest addition to its family of health care plans: Medicare Advantage Alamo (HMO) Plan (HMO). Designed to serve the health care needs of seniors in Bexar County ages 65+, Medicare Advantage Alamo (HMO) Plan...
Background: In response to COVID-19, effective March 1, 2020, the Public Health Enrollment requirements for the submission of proof of fingerprinting and undergoing pre-enrollment and post-enrollment site visits were waived. Key Details: Effective September 1, 2021,...
Eye Examination and Refraction Testing Certified nurse midwifes, registered nurses, or licensed midwifes can no longerprovide services rendered in the office, inpatient hospital, or outpatient hospitalsetting for procedure code 92014. Ophthalmic Ultrasound The...
To comply with the 21st Century Cures Act (Section 12006) federal law, HHSC has started identifying programs, services and service delivery options related to home health care services required to use EVV by Jan. 1, 2023 (PDF). HHSC will continueto analyze these...
On June 14, 2021, Philips Respironics initiated a voluntary recall notification for specific models of continuous positive airway pressure (CPAP), bilevel positive airway pressure (BPAP), and mechanical ventilator devices to ensure patient safety. The recall is to...
Community First Health Plans (Community First) is happy to announce a new partnership with RJ Health Systems (RJ Health) to roll out the RC Claim Assist tool for use by Participating Providers. RC Claim Assist gives Providers the actionable coding and units needed to...
Effective for dates of admission on or after September 1, 2018, hospitals enrolled in Texas Medicaid may be reimbursed for inpatient neonatal services only if the hospitals have received a neonatal level of care designation from the Department of State Health Services...
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
Community First Health Plans has updated provider billing guidelines for 837P Professional Health Care Claims. Community First Health Plans does not intend for this to be a complete guide. The details contained in this document are supplemental and should be used in...
