Aug 12, 2022 | Medicaid Providers, PEMS
The Provider Enrollment and Management System (PEMS) fully deployed on December 13, 2021. The system introduced new business rules for enrollment in Texas Medicaid. Prior to the PEMS implementation, the provider billing effective date could be either the Medicare...
Nov 8, 2024 | Medicaid Providers, Provider News, Provider Resource
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:...
Sep 23, 2024 | HHSC News, Medicaid Providers, Provider Resource
As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
Jun 25, 2024 | HHSC News, Medicaid Providers, Provider News
Attention Community First Providers: You may begin collecting CHIP COVID-19 co-pays on October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and treatment for...
May 15, 2024 | Medicaid Providers, Provider Resource
Dear Community First Health Plans, Inc. Prescribers, The Texas Health and Human Services Commission (HHSC) launched a public health initiative called Texas Medicaid HepCure to reduce the rate of Hepatitis C virus (HCV) in Texas. HHSC removed administrative barriers to...
Apr 25, 2024 | EVV News, HHSC News, Medicaid Providers
On February 12, 2024, HHSC posted a notice instructing Electronic Visit Verification (EVV) program providers, financial management services agencies (FMSAs), and Consumer Direct Services (CDS) employers to not submit Visit Maintenance Unlock Requests (VMURs) for dates...
