EVV VMUR Updates

On March 28, HHSC requested feedback from MCOs about updating the Electronic Visit Verification (EVV) Visit Maintenance Unlock Request (VMUR) templates. HHSC processed the feedback received from TMHP, EVV vendors and MCOs and decided to add a new option to the...

Community First Partners with Payspan

Community First Health Plans has partnered with Payspan to provide claim reimbursement and remittance advice (EOP) for our Providers. This free service electronically deposits Community First Health Plans provider reimbursement payments to the bank account(s) of your...

Annual Member Survey

How can Community First Health Plans serve you better? How can we help you choose the best health care plan for you and your family? Community First is continuously working to improve our delivery of quality care and service in a safe manner. To reach this goal, we...

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...

Providers: Public Health Emergency FAQ

Your Patients’ Medicaid Coverage May Be Impacted by the End of the COVID-19 Public Health Emergency Continuous Medicaid Coverage May End Soon Your patients’ Medicaid coverage may be impacted by the end of the COVID-19 federal public health emergency (PHE). Medicaid...

Topics About Using an EVV System

HHSC will publish a notice to remind program providers, FMSAs and CDS employers that the EVV system must be used. The topics were selected based on past issues and feedback received related to Visit Maintenance Unlock Requests, such as request for creating a manual...
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