Flu vaccine coverage through the Pharmacy benefit is now available to members 7 years old and older. Flu vaccines can be obtained at participating pharmacies (HEB, Walgreens, CVS, Walmart and Target) at a zero co-pay for most Members.
Refer to: The CMS website at www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Categorization_of_Tests.html for information about procedure code and modifier QW requirements.For waived tests, providers must use modifier QW as indicated on the CMS websitePlease...
A review of mental health versus medical/surgical benefits was completed by Community First Health Plans to ensure compliance with the Centers for Medicare & Medicaid Services (CMS) and Texas Health and Human Services Commission rulings regarding Mental Health...
San Antonio – Community First Health Plans (CFHP) has received an Accreditation Status of Commendable from the National Committee for Quality Assurance (NCQA).NCQA accreditation is significant because this means that CFHP meets the national standards in delivering...
Therapy cost containment notification for Providers and MCOs As required by the 2016-17 General Appropriations Act (GAA), H.B. 1, 84thLegislature, Regular Session, 2015 [Article II, HHSC, Rider 50(c)] (henceforth, Rider 50) the Health and Human Services...
Information posted December 2, 2016Note: This article applies only to claims submitted to TMHP for processing. Refer to the Medicaid managed care organizations (MCOs) for information about MCO benefits, limitations, prior authorization, reimbursement, and MCO specific...
MCOs recently received a Texas Health Steps regional provider representatives’ contact list with a documentation improvement letter. Since the list is updated as changes occur, HHSC requests that each Medicaid medical and dental managed care plan post the link...
Hearing Aid Fitting and Dispensing Services Billing Changes for Texas Medicaid and the CSHCN Services Program Effective January 1, 2017Effective January 1, 2017, hearing aid fitting and dispensing services can be billed using Audiologist; Otorhinolaryngology Ears,...
Note: This article applies only to claims submitted to TMHP for processing. Refer to the Medicaid managed care organizations (MCOs) for information about MCO benefits, limitations, prior authorization, reimbursement, and MCO specific claim processing...
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-434-2347 (TTY: 1-800-390-1175).CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-434-2347 (TTY:...
