Provider News
Hispanic Heritage Month: How Providers Can Better Serve the Latino Community
Each year, Hispanic Heritage Month (September 15 – October 15) honors the history, culture, and contributions of Latino communities in the United States. It is also a time to reflect on the unique challenges these communities face in accessing quality health care and...
Payspan Portal Production Maintenance – Saturday, September 20, 8:00 P.M. (ET) through Sunday, September 21, 9:00 A.M. (ET)
Zelis® will have a maintenance window for the Payspan Portal Saturday, September 18th at 8 P.M. (ET), with an expected duration of up to 13 hours, please note that Core systems will be unavailable from 8 P.M. (ET) on September 20th through 9 A.M. (ET) on September...
Rider 32 Update: EVV Required for Medicaid-Only Services for Dual Eligible Members
Beginning Sept. 1, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service (FFS) to a...
Payspan Portal Production Maintenance – Saturday, August 16, 5:00 P.M. (ET) through 8:00 P.M. (ET)
Dear Valued Zelis® Customer: Zelis® is utilizing a maintenance window for the Payspan Portal from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, August 16, 2025. Note: We will end the maintenance early if the activities are completed by 8:00 P.M....
Summer 2025 Provider Newsletter Now Available!
For the latest on claims processing, clinical and updates resources, continuing education, compliance updates, and more, read our Community First 2025 Summer Provider Newsletter, now available on our website. Our Provider Newsletter has curated news specifically for...
Important Updates to the 2025 FUH (Follow-Up After Hospitalization for Mental Illness) Measure
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...