Aug 28, 2025 | Provider News, Provider Resource
HHSC will begin collecting cost surveys for the state fiscal year (SFY) 2024 on September 1, 2025. The purpose of the cost survey is to collect Financial Management Services Agency (FMSA) costs for SFY 2024 for all FMSAs in Texas. This cost information will be used in...
Aug 25, 2025 | HHSC News, Provider Resource
UPDATED 9/3/2025: This news post has been edited to reflect updated guidance from HHSC. The information below applies to all Texas Medicaid clients impacted by the 2025 Texas flooding regardless of whether the clients are permanent residents of a declared disaster...
Aug 19, 2025 | Provider Resource
Inpatient high-cost clinician-administered drugs (HCCADs) are drugs or biologics that the Texas Health and Human Services Commission (HHSC) has approved to be “carved out” of the All-Patient Refined Diagnosis Related Group (APR-DRG) and can be billed on an outpatient...
Aug 13, 2025 | Provider Resource
Community First Health Plans would like to remind providers of the THSteps newborn screening requirements and related billing guidance for Medicaid-enrolled infants. Under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), newborn screenings are a...
Aug 7, 2025 | Provider News, Provider Resource
For the latest on claims processing, clinical and updates resources, continuing education, compliance updates, and more, read our Community First 2025 Summer Provider Newsletter, now available on our website. Our Provider Newsletter has curated news specifically for...
Aug 7, 2025 | Medicaid Providers, Provider News, Provider Resource
Influenza is a serious illness that can lead to hospitalization, complications, or even death in young children. Community First Health Plans is seeking your support to ensure that all eligible children aged 6 to 24 months receive two doses of the flu vaccine for...
