Provider News
Refunding Overpayments – New Mailing Address
This information applies to Provider refunds ONLY. If you believe you have received an overpayment from Community First Health Plans or we have identified an overpayment and requested a refund, please submit the following : A check issued to Community First Health...
New Authorization Module Now Live
A new authorization module is now live in the Community First Provider Portal. Providers will use this module to submit authorization requests for Specialist, Outpatient, and Admission. Please refer to this User Guide for step-by-step guidance on how to use this new...
Winter Storm Alert – Cold Weather Resources
Continuity of Care for LTSS Services
FAQs: House Bill (HB) 3459 – Preauthorization Exemption for Select Providers Starting October 1, 2022
Continuity of Care for LTSS Services
Fall/Winter 2022 Provider Newsletter Now Available!
Read all about it! The Community First 2022 Fall/Winter Provider Newsletter is now available to read and download on our website! Our Provider Newsletter has curated news specifically for Community First Providers, including: EVV Policy Handbook updates Claims...
Hepatitis C Treatment Coverage and PDL Update Scheduled for Sept. 1
Beginning Sept. 1, 2022, Texas Medicaid will designate one medication as the primary preferred direct-acting antiviral (DAA) drug option for treating Hepatitis C infection. HHSC will designate all other DAA drugs on the Medicaid formulary as non-preferred. All...