Oct 23, 2025 | Pharmacy, Provider Resource
Long-acting reversible contraception (LARC) products are available to clients through either Medicaid pharmacy or medical benefit. Manufacturers offer abandoned unit return programs allowing prescribers to return an abandoned LARC product with an abandoned unit return...
Oct 17, 2025 | PEMS, Provider News
Attention all Laboratory Providers! Effective November 1, 2025, all Providers that submit claims for laboratory processes/procedures that require CLIA licensure must ensure their CLIA licensure and certification code(s) information is updated in the TMHP PEMS...
Oct 17, 2025 | Provider News
Community First Health Plans would like to inform providers of an important update to Texas Medicaid coverage for the respiratory syncytial virus (RSV) vaccine. Effective June 25, 2025, the age range limitations for RSV vaccine procedure codes 90679 and 90683 have...
Oct 16, 2025 | Provider Resource
Healthy Texas Women (HTW) providers who intend to provide or continue providing HTW services during program year 2026 (January 1, 2026 – December 31, 2026) must complete the annual recertification process. The recertification window for the 2026 program year will be...
Oct 13, 2025 | Provider Resource
The purpose of this communication is to inform providers of new state requirements under House Bill (H.B.) 44 (88th Legislature, Regular Session, 2023). Effective April 29, 2025, the Texas Health and Human Services Commission (HHSC) adopted new rules that prohibit...
Sep 29, 2025 | Community First Blog
Fall has officially arrived, even if the weather hasn’t caught up yet! Celebrate the season with a variety of exciting events, cultural celebrations, patriotic parades, and more. Let’s dive into the best that autumn offers in South Texas! Bexar County AccessAbility...
Sep 4, 2025 | Member News, Member Resource
Open Enrollment gives you an annual opportunity to make changes to your benefit elections. Be sure to consider your personal situation carefully when deciding on the right combination of coverage and cost. You can enroll in benefits through PeopleSoft effective...
Sep 29, 2025 | Community First Blog
Community First Health Plans is here to help you and your family stay safe and healthy this Halloween with these easy-to-follow safety tips. Whether you plan to trick-or-treat or celebrate at home, Halloween should be full of fun, not fright. Costume Safety Help your...
Sep 25, 2025 | Community First Blog
Clinical Contributor to this blog: Jessica Yao, M.D.Chief Medical Officer Mammograms save lives! Early detection plus starting treatment earlier equals a higher breast cancer survival rate. A mammogram is an X-ray picture of the breast. Doctors use a mammogram to...
Sep 24, 2025 | Provider Resource
Each year, Hispanic Heritage Month (September 15 – October 15) honors the history, culture, and contributions of Latino communities in the United States. It is also a time to reflect on the unique challenges these communities face in accessing quality health care and...