On Friday, July 4, 2025, severe flooding impacted communities in the Texas Hill Country. The Vendor Drug Program provided pharmacy claims guidance related to refill too soon rejections.
Pharmacies may contact the Texas Medicaid Pharmacy and Technical Call Center at 800‑435‑4165, Monday through Friday, 7 a.m. to 7 p.m. (Central Time), for questions about fee‑for‑service claims. They can also use the MCO Search tool to find contact information for each MCO.
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter