Dec 22, 2025 | Provider News
Updated January 20, 2026: Community First’s partnership with Cotiviti will now launch on June 1, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
Jan 20, 2026 | Provider News, Provider Resource
Effective February 1, 2026, the Texas Department of Insurance (TDI) will require all applicable health plans to use state‑mandated uniform Coordination of Benefits (COB) questionnaires. Health plans must also accept these forms when submitted by either Providers or...
Dec 30, 2025 | Provider News, Provider Resource
In accordance with House Bill 3940 (89th Legislature, Regular Session), effective January 1, 2026, Providers are required to distribute updated information regarding Newborn Medicaid Coverage to the parent or caregiver of a newborn child. Key Details: Newborns are...
Dec 17, 2025 | PEMS, Provider News, Provider Resource
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
Dec 10, 2025 | EVV News, Provider News, Provider Resource
Beginning January 1, 2026, the Health and Human Services Commission (HHSC) will end the Dual Demonstration Program and transition Medicare-Medicaid Plans (MMPs) to integrated Dual Eligible Special Needs Plans (D-SNPs). Members currently enrolled in MMPs will move to a...
Dec 3, 2025 | HHSC News, Provider News, Provider Resource
The Texas Vaccines for Children (TVFC) program has added the updated 2025–2026 COVID-19 vaccines to the Vaccine Choice page within the Vaccine Allocation and Ordering System (VAOS). Providers should review and update their vaccine choices as needed to ensure continued...
