Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
Managing asthma in children requires collaboration between health care providers, parents, and caregivers. ALL children with asthma should have an Asthma Action Plan filled out by their healthcare provider. The South Texas Asthma Coalition (STAC) has released a new,...
As mandated by Texas House Bill 4, 87th Legislature, Regular Session, 2021, the Texas Health and Human Services Commission (HHSC) implemented changes to the permanent delivery of some of the behavioral health Medicaid benefits by synchronous audiovisual or synchronous...
Program providers, financial management services agencies (FMSAs), and Consumer Directed Services (CDS) employers who are transitioning to HHAeXchange, are responsible for completing all required visit maintenance, including Visit Maintenance Unlock Requests (VMURs),...
Community First Claim Appeal Form (PDF) Providers have the right to appeal the denial of a claim by Community First Health Plans. To file an appeal, Providers should complete the Community First Claim Appeal Form (linked above). Mail the completed form, a copy of...
For Providers who do not have their own clearing house for claims submissions, Community First offers two single-claim submission options at no cost to members of our Provider Network: Availity and Claim MD, both accessible through the Community First Provider Portal....