On June 1, 2022, the Health and Human Services Commission (HHSC) comprehensively revised the Long-Term Services and Supports (LTSS) Billing Matrix and crosswalk. The note at the top of the matrix now states: “MDCP modifier (U6) added to all state plan services to...
As stated in the Community First Provider notice posted on May 11 (“EVV Contract Awarded to Accenture and HHAeXchange”), users of the current EVV vendor systems (DataLogic/Vesta or First Data/AuthentiCare) must transition to HHAeXchange or receive approval as an EVV...
At Community First, we work hard to connect members of our community to health coverage through programs like Medicaid (STAR and STAR Kids) and CHIP. We believe that all adults, families, and children deserve access to high-quality care. If you have patients who need...
ATTENTION COMMUNITY FIRST PROVIDERS Texas state regulations (Texas Administrative Code §353.502) require MCOs to conduct routine audits of Provider and Member claims to ensure that proper payments are made. If you receive a request for medical records, return...
ATTENTION COMMUNITY FIRST PROVIDERS Collaborative testing between Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs) has identified Provider address differences between the MCOs ecosystem and the Master Provider File (MPF)...
