Community First Health Plans is working with Change Healthcare to help our members get the benefits they need. Change Healthcare will be helping our members who may receive Supplemental Security Income (SSI) benefits. If you are a member and receive a letter or phone...
Each year, the Texas Diabetes Council (TDC) recognizes Texas HMOs that exceed or are equivalent to the state average for HEDIS performance measures relating to comprehensive diabetes care. According to The Guide to Texas HMO Quality: 2014 (PDF), four HMOs in seven...
Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
Community First Medicare Advantage Dual Eligible Special Needs Plan (HMO D-SNP) Members are invited to join our Enrollee Advisory Committee (EAC). We need your ideas and experience about your health care plan to make it better for yourself and others. Who can join:...
Effective November 22, 2021, licensed behavior analysts (LBAs) must attest to where services will be provided so that the Texas Health and Human Services Commission (HHSC) can determine applicable site visit requirements for enrollment in Texas Medicaid. This change...
Hot off the press! The Community First 2021 Fall/Winter Member and Provider Newsletters are now available to read/download on our website. The Provider Newsletter includes important information about: Updated clinical practice guidelinesCare Management services...
Every three years, Community First undergoes the National Committee for Quality Assurance (NCQA) survey process for health plan accreditation and distinction. We are proud to announce that in November, Community First earned the renewal accreditation status for:...
For Providers who do not have their own clearing house for claims submissions, Community First offers two single-claim submission options at no cost to members of our Provider Network: Availity and Claim MD, both accessible through the Community First Provider Portal....
UT Health Confianza is providing COVID-19 Health Literacy ECHO sessions to share up-to-date information about COVID-19 to local providers. ECHO Sessions will include didactics followed by participant presentations of real-life situations and group discussion to share...
A recall has been initiated for Similac, Alimentum, or EleCare powdered infant formulas due to reports of Cronobacter sakazakii and Salmonella Newport infections in infants. The FDA is advising consumers not to use these recalled formulas. Recalled products...
