Provider News
Community First Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Updated January 20, 2026: Community First's partnership with Cotiviti will now launch on June 1, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended
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...
Translation/Interpreter Services for Members
Community First provides free, 24-hour access to interpreter services at no cost for Community First Members with limited English proficiency (LEP) or who use sign language. Interpreters are available in more than 200 languages by request. Please use our...
D-SNP MODEL OF CARE (MOC) TRAINING: PROVIDERS MUST COMPLETE CMS-REQUIRED ANNUAL TRAINING
The Centers for Medicare & Medicaid Services (CMS) requires all Providers who care for Community First Medicare Advantage D-SNP (HMO) Members to complete annual Model of Care (MOC) training and attest to its completion. To meet the requirement, Community First...
Notice for System Downtime
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...
EVV Alternative Device Policy Changes Effective September 2, 2025
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 are...