Provider News
Anesthesia Reimbursement Changes
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...
COMING SOON! Obtain Completed Authorization Requests Via Community First Provider Portal
Please read for an important notice for all Community First Providers about authorizations. In July 2023, Community First will add new functionality to the Community First Provider Portal, allowing Providers to use the Portal to view decisions/outcomes of...
HHSC to Begin Collecting Financial Management Services Agency (FMSA) SFY 2022 Cost Survey
HHSC will begin collecting cost surveys for the state fiscal year 2022 on June 1, 2023. The purpose of the cost survey is to collect FMSA costs for the state fiscal year 2022 for all FMSAs in Texas. This cost information will be used in the review of current FMSA...
Coronavirus Disease 2019 (COVID-19) Related Exercise of Enforcement Discretion Ending May 11, 2023
At the onset of the COVID-19 public health emergency (PHE), and the declaration of such by Secretary Azar, the Centers for Medicare & Medicaid Services (CMS) notified Medicare Advantage (HMO) Organizations (MAOs), Part D sponsors, and Medicare-Medicaid Plans of a...
Health Care Transition from Adolescence to Adulthood
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...
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP)
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...