Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, referrals, and claims/encounter data filing may differ...
2.3.2.3 Breast Pump Claims Filing for MCO Services Texas Medicaid and CHIP cover breast pumps and equipment after a baby is born when they are medically necessary. Contact: Email ProviderRelations@cfhp.com or call 210-358-6294.
On April 26, 2022, HHSC posted a competitive solicitation on the Electronic State Business Daily for EVV System Management Services. Contractor responsibilities will include: Providing and managing a single EVV vendor systemReview and approval of provider-operated EVV...
Beginning December 21, 2022, Community First Health Plans will provide COVID-19 vaccines, COVID-19 test kits, and COVID-19 treatments without imposing copayments. This complies with the American Rescue Plan Act’s (ARPA) amendment to Sections 2103(c)(11)(B) and...
Community First Health Plans has partnered with Option Care Women’s Health to assist our high-risk obstetrical Members. Option Care Women’s Health provides quality high-risk obstetrical care delivered by specialized nurses for management of the following: Hyperemesis...
In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long-term services and supports (LTSS) billing codes to comply with the National Correct Coding Initiative (NCCI) by...
