Jul 2, 2025 | Provider Resource
Key Details: Community First Health Plans has created a new Provider Services line to streamline support: 210-358-6030. Make this your go-to number to replace calling different Community First numbers for different services. Call 210-358-6030 for assistance with:...
Jun 26, 2025 | Provider News, Provider Resource
The Texas Health and Human Services Commission (HHSC) approved payment rates for Nursing Facilities (NF) effective September 1, 2025. HHSC will transition NF providers from the Resource Utilization Group, Version III (RUG-III) payment methodology to the Patient-Driven...
May 14, 2025 | Provider News, Provider Resource
UPDATE: See updated Rider 32 Implementation here. Community First Health Plans would like to inform Providers that effective September 1, 2025, House Bill 1, Article II, Rider 32 (88th Legislature, Regular Session, 2023) will be implemented. Rider 32 mandates Texas...
May 13, 2025 | Provider Resource
The Texas Prescription Monitoring Program (PMP) survey for prescribing providers is now open. This survey is required for providers who prescribe controlled substances and helps the Texas Health and Human Services Commission (HHSC) collect the data needed to meet...
Apr 29, 2025 | Provider News, Provider Resource
Updates made to the Sleep Studies Medicaid Policy will become effective for date of service on or after March 1, 2025. Benefit information will be updated in the Texas Medicaid Provider Procedures Manual (TMPPM), Medical and Nursing Specialists, Physicians, and...
Apr 24, 2025 | PEMS, Provider News, Provider Resource
Healthy Texas Women (HTW) providers who intend to begin or continue delivering HTW services must complete their annual recertification process. The deadline for 2025 program year recertification has been extended to April 30, 2025. As part of this process, Providers...
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