Apr 28, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on billing requirements for Medical Nutrition Therapy (MNT) services. Proper coding and diagnosis reporting supports accurate claims processing, CMS compliance, and reduces claim denials. Medical Nutrition Therapy...
Apr 21, 2026 | Provider Resource
Community First Health Plans is providing clarification on the appropriate use of laboratory modifiers 59 and 91. These modifiers are valid for many laboratory services and may be required when multiple laboratory services described by a single CPT® code are performed...
Jul 21, 2026 | Community First Blog
Put on your thinking caps and celebrate World Brain Day, July 22! World Brain Day on July 22 honors advances in brain science and promotes brain health. Our brain is an incredible organ that can change and reorganize itself throughout our lives. There are many ways...
Jul 23, 2026 | Provider News, Provider Resource
Community First Health Plans is sharing information regarding updates to the Healthy Texas Women (HTW) program pharmacy benefit that became effective July 1, 2026. HTW provides women’s health and family planning services to eligible women, while HTW Plus offers...
Jul 20, 2026 | Provider News, Provider Resource
Effective August 3, Community First Health Plans will enhance the existing claims processing program to improve the overall accuracy of claim processing in partnership with Cotiviti. We want to share this information in advance, so you are prepared for the upcoming...
Jul 21, 2026 | Community First Blog
Build on children’s interests and natural curiosity to make learning fun! Let kids and teens get involved in activities they already love, and as a bonus, they’ll learn basic life skills. Games and activities gently train your kids’ brains for school...
Jul 17, 2026 | Provider News, Provider Resource
Community First Health Plans is sharing information regarding the Texas Medicaid Preferred Drug List (PDL) update scheduled for July 24, 2026. The update reflects recommendations from the January and April 2026 Texas Drug Utilization Review (DUR) Board meetings. The...
Jul 17, 2026 | Member News
Community First Health Plans (Community First) has been made aware of reports that a company is contacting members, falsely claiming to be calling on behalf of Community First to provide service coordination and assessments. This company is not affiliated with...
Jul 16, 2026 | Provider News
Zelis will perform scheduled system maintenance for the Payspan Portal from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, July 18, 2026. The table below lists system availability and service impacts during the maintenance window. Please note that the maintenance...
Jul 15, 2026 | Provider News
Flash flood and tornado warnings are currently in effect in San Antonio and surrounding counties, Wednesday, July 15. Heavy rainfall is expected to continue through the week. Please share the following information with Community First patients: As storm threats...
