Nov 13, 2025 | Provider News
Please be advised that our core system will be unavailable for the following dates: Start: Thursday, November 13, 2025 at 5pmEnd: Sunday, November 16, 2025 at 10pm Why This Update Matters This scheduled downtime is part of our Service Excellence initiative...
Nov 7, 2025 | Provider News
The Texas Health and Human Services Commission (HHSC) has announced that the ongoing federal government shutdown does not impact Texas Medicaid coverage or reimbursement for telemedicine, teledentistry, telehealth, or home telemonitoring services. Key Information for...
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...
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...
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...
