Sep 6, 2023 | HHSC News, Provider News, Provider Resource
Key Details: Effective November 1, 2023 The following payment window reimbursement guidelines apply to services that are rendered by the hospital or an entity that is wholly owned or operated by the hospital. The three-day (or one-day) payment window does not apply...
Aug 15, 2023 | Provider Resource
The Tip Sheets below summarize the most recent recommendations from the CDC for appropriate antibiotic prescribing for adults and children and summarize the most recent principles of appropriate antibiotic prescribing in an outpatient setting. Community First...
Jun 29, 2023 | Provider Resource
Please be advised, consistent with original Medicare and Texas Medicaid which do not recognize Physical Status Modifiers P1 – P6, Community First Health Plans, Inc. (Community First) will no longer allow additional reimbursement for physical status modifiers...
Feb 13, 2023 | Community First Providers, Provider Resource
Community First Health Plans is committed to working with our Providers to improve the quality of care for our Members. Please use the Health Care Transition from Adolescence to Adulthood Tip Sheet linked below to assist in guiding teen and young adult patients and...
Feb 10, 2023 | Provider Resource
Community First Health Plans is committed to working with our Providers to improve the quality of care for our Members. Please use this Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Provider Tip Sheet for guidance regarding...
Feb 7, 2023 | Provider News, Provider Resource
This information applies to Provider refunds ONLY. If you believe you have received an overpayment from Community First Health Plans or we have identified an overpayment and requested a refund, please submit the following : A check issued to Community First Health...
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