Dec 22, 2025 | Provider News
Over the past several years, Community First Health Plans has been implementing payment policies that reflect guidelines set forth by industry authorities. Our goal is to process claims consistently and in accordance with best practice standards. Starting on...
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...
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...
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...
Sep 19, 2025 | Provider News
Zelis® will have a maintenance window for the Payspan Portal Saturday, September 18th at 8 P.M. (ET), with an expected duration of up to 13 hours, please note that Core systems will be unavailable from 8 P.M. (ET) on September 20th through 9 A.M. (ET) on September...
Aug 25, 2025 | EVV News, Provider News
Beginning Sept. 1, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service (FFS) to a...
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