Jul 15, 2025 | Provider News, Provider Resource
HHSC will publish the semi‑annual update to the Texas Medicaid Preferred Drug List (PDL) on July 28, 2025. These changes are based on recommendations from the January 2025 and April 2025 Texas Drug Utilization Review (DUR) Board meetings. The updated PDL and PDL...
Jul 14, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 19, 8 P.M. (ET) through Sunday, July 20, 9 A.M. (ET). Note: If the maintenance activities are completed before 9 A.M. (ET), we will end the maintenance early. The following System...
Jul 14, 2025 | Provider News, Provider Resource
Beginning September 1, 2025, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service...
Jul 8, 2025 | Provider News, Provider Resource
Texas Health and Human Services Commission (HHSC) will allow Providers to enroll in Texas Medicaid as Rural Emergency Hospitals (REH) effective September 1, 2025. Community First Health Plans will implement the appropriate system and operational change requirements...
Jul 8, 2025 | Provider News, Provider Resource
Community First Health Plans is devastated by the Hill Country floods. Our teams are here to help. Please instruct your patients who are insured by Community First and have special health care needs to contact their assigned Service Coordinator directly or call...
Jul 2, 2025 | Provider News
The Health and Human Services Commission (HHSC) will be proposing increased Nursing Facility rates, effective September 1, 2025. This increase is pursuant to the 2026-27 General Appropriations Act, Senate Bill 1, 89th Legislature, Regular Session, 2025 (Article II,...
