Oct 17, 2025 | PEMS, Provider News
Attention all Laboratory Providers! Effective November 1, 2025, all Providers that submit claims for laboratory processes/procedures that require CLIA licensure must ensure their CLIA licensure and certification code(s) information is updated in the TMHP PEMS...
Oct 17, 2025 | Provider News
Community First Health Plans would like to inform providers of an important update to Texas Medicaid coverage for the respiratory syncytial virus (RSV) vaccine. Effective June 25, 2025, the age range limitations for RSV vaccine procedure codes 90679 and 90683 have...
Oct 10, 2025 | Provider News
On September 24, 2025, ProgenyHealth hosted a virtual training session for Community First Health Plans Providers to introduce the new utilization management process for STAR Medicaid NICU admissions and case management services. This training was recorded and is now...
Sep 24, 2025 | EVV News, Provider News
Community First Health Plans would like to inform Providers that the Texas Health and Human Services Commission (HHSC) posted new and revised policies for alternative device reduction reviews on HHSC’s Electronic Visit Verification (EVV) webpage. The policies...
Sep 22, 2025 | Provider News
The Texas Medicaid & Healthcare Partnership (TMHP) has announced an upcoming update to the Texas Medicaid Provider Procedures Manual (TMPPM), specifically within the Children’s Services Handbook, Section 4.3.13.1 – “Oral Evaluation and Fluoride Varnish (OEFV) in...
Sep 19, 2025 | Provider News
Zelis® will have a maintenance window for the Payspan Portal Saturday, September 18th at 8 P.M. (ET), with an expected duration of up to 13 hours, please note that Core systems will be unavailable from 8 P.M. (ET) on September 20th through 9 A.M. (ET) on September...
