Provider News
EVV Systems AuthentiCare and Vesta Available for Use Through September 30, 2023
Program providers, financial management services agencies (FMSAs), Consumer Directed Services (CDS) employers, service attendants and CDS employees may continue using their current EVV systems, AuthentiCare (First Data) or Vesta (DataLogic) through September 30, 2023,...
PEMS Update: New Address Verification Deadline
Collaborative testing between Texas Health and Human Services Commission (HHSC) and Managed Care Organizations (MCOs) has identified Provider address differences between the MCOs ecosystem and the Master Provider File (MPF) extracted from Provider Enrollment and...
Reimbursement Guidelines: Payment Window and Services Preceding Inpatient Admission
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...
Antibiotic Prescribing & Use: Upper Respiratory Infections
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...
Participating and Non-Participating Physician and Provider Services – Authorization Notice
Community First Health Plans is aware that a previous version of this notice published on February 13, 2023 may have caused some confusion amongst our network of Providers. We have updated the notice for clarity. Please contact Provider Relations at 210-358-6294 or...
Health Advisory: Locally Acquired Malaria Case
Continuity of Care for LTSS Services