May 15, 2025 | Provider News
Zelis® is utilizing a maintenance window for the Payspan Portal from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, May 17, 2025. Note: We will end the maintenance early if the activities are completed by 8:00 P.M. (ET). The following System Availability...
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 9, 2025 | PEMS, Provider News
The Texas Health and Human Services Commission (HHSC) has postponed the planned update to the Provider Enrollment and Management System (PEMS) that would enable provider credentialing. This functionality will be added later in 2025. More information will be published...
May 6, 2025 | PEMS, Provider News
Community First Health Plans is requiring Providers to ensure their information is aligned across the Provider Enrollment and Management System (PEMS) Master Provider File effective May 30, 2025. As a Managed Care Organization (MCO), Community First Health Plans will...
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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