Provider News
Summer 2025 Provider Newsletter Now Available!
For the latest on claims processing, clinical and updates resources, continuing education, compliance updates, and more, read our Community First 2025 Summer Provider Newsletter, now available on our website. Our Provider Newsletter has curated news specifically for...
Community First PCP Incentive: Enhanced Payments for Flu Shots
Influenza is a serious illness that can lead to hospitalization, complications, or even death in young children. Community First Health Plans is seeking your support to ensure that all eligible children aged 6 to 24 months receive two doses of the flu vaccine for...
New Provider Enrollment Assistance Tool
Texas Medicaid & Healthcare Partnership (TMHP) has developed a Provider Enrollment Assistance Tool (PEAT), an online virtual chat assistant that provides instant answers to Texas Medicaid provider enrollment-related questions. PEAT can assist providers to: Find...
Important Updates to the 2025 FUH (Follow-Up After Hospitalization for Mental Illness) Measure
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...
Pharmacy Benefit Updates Related to July 2025 Hill Country and Central Texas Flooding
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Prior Authorization Requests for DMEPOS Replacements Due to the Central Texas Floods Being Expedited
UPDATED 9/3/2025: This news post has been edited to reflect updated guidance from HHSC. The information below applies to all Texas Medicaid clients impacted by the 2025 Texas flooding regardless of whether the clients are permanent residents of a declared disaster...
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