Public Health Emergency FAQ

In response to the COVID-19 pandemic, the federal government declared a public health emergency (PHE) and passed a law that allowed you to automatically keep your Medicaid coverage since March 2020.   When will automatic coverage for Medicaid end?  The...

New CES Now Live

Community First is committed to providing ongoing information as we move towards the implementation of new Claims Editing Software (CES). On April 1, 2022, Community First will implement a claims pre-payment auditing process that identifies frequent correct coding...
External Medical Reviews

External Medical Reviews

Senate Bill 1207 – External Medical Reviews In accordance with Tex. Gov’t.  Code Section 531.024162, as amended by Senate Bill 1207, HHSC is required to contract with an independent review organization (IRO) to perform external medical reviews (EMR) when...

Claim MD Now Available

Claim MD, a secure electronic transmission method for claim submission, is now integrated into the new Community First Provider Portal. Providers now have the option to use either Claim MD or Availity at any given time to submit claims. To access Claim MD: Log in to...

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

X
Home
Member Portal
Provider Portal