Jul 17, 2026 | Provider News, Provider Resource
Community First Health Plans is sharing information regarding the Texas Medicaid Preferred Drug List (PDL) update scheduled for July 24, 2026. The update reflects recommendations from the January and April 2026 Texas Drug Utilization Review (DUR) Board meetings. The...
Jul 15, 2026 | Provider News, Provider Resource
Effective June 2, 2025, there will be a change in reimbursement for the following High-CostClinician-Administered Drugs (HCCAD): HCCADsProcedure...
Jul 3, 2026 | Provider News, Provider Resource
The Community First Summer 2026 Provider Newsletter is now available. This issue features important updates, compliance guidance, Provider Portal enhancements, care coordination resources, quality initiatives, and clinical tools designed to support your practice and...
Jul 1, 2026 | Provider News, Provider Resource
Community First Health Plans, Inc. (Community First) is partnering with Vheda Health, the leader in outcomes and analytics through virtual health engagement, to support high-risk mothers living with diabetes and hypertension across Texas. The program is designed to...
Oct 2, 2023 | EVV News, HHSC News, Member News, Provider News, Provider Resource
Effective October 1, 2023, The Texas Health and Human Services Commission (HHSC) is amending The EVV Policy Handbook, Section 7040, Alternative Device. HHSC is reducing the use of alternative devices to modernize the EVV program, increase program integrity, and reduce...
Jun 24, 2026 | Provider News, Provider Resource
Community First Health Plans is providing guidance on billing and reimbursement requirements for implantable devices for both inpatient and outpatient hospital services. Proper coding and documentation are required to ensure accurate claims processing and to avoid...
