Background:MCOs were notified in the Aug. 12 MCO Notice that HHSC requested to delay the Jan. 1, 2020 EVV start date for the programs, services, and service delivery options affected by the 21st Century Cures Act.Key Details: The Centers for Medicare and Medicaid...
Effective June 1, 2019, Community First Health Plans (CFHP) implemented a new core claim processing platform called QNXT. To facilitate data transfer to the new system, all active Members in the legacy system, Amisys, were terminated on May 31, 2019. Upon transfer,...
Effective October 15, 2019, CFHP will require Providers to use a physical address when submitting claims. Due to HHSC requirements, the use of P.O. Box addresses will not be allowed as a billing address.If you have questions regarding this communication update, please...
CFHP has resolved the issue with the response files known as 277CA and 999, which alert a claim submitter as to the “Acceptance” or “Rejection” of a claim submission. The 277CA and 999 files are now being posted to the CFHP Claim Clearinghouses and all files dating...
Dear Participating Provider,Effective June 1, 2019, Community First health Plans (CFHP) implemented a new core claim processing platform called QNXT. Electronic or Paper claims submitted on or after June 1, 2019 to CFHP should be submitted using the Medicaid...
Community First Health Plans (CFHP) converted to a new STAR Kids Billing Matrix On June 1, 2019. Upon further review, CFHP identified errors on the billing matrix and has retracted it from its website and provider portal.CFHP apologizes for the inconvenience this may...
As of June 1, 2019, Community First Health Plans (CFHP) converted to a new core platform system. We are currently experiencing an issue with the response files known as 277CA and 999, which alert a claim submitter as to the “Acceptance” or “Rejection” of a claim...
The process to access historical EVV records stored by Sandata is changing.Effective March 1, 2019 all requests to access Sandata historical EVV records must be emailed to Electronic_Visit_Verification@hhsc.state.tx.us. Please include “Sandata Request” in the subject...
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...
