Provider News
Pharmacy Benefit Updates Related to July 2025 Hill Country and Central Texas Flooding
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Payspan Portal Production Maintenance – Saturday, July 19, 8:00 P.M. (ET) through Sunday, July 20, 9:00 A.M. (ET)
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, July 19, 8 P.M. (ET) through Sunday, July 20, 9 A.M. (ET). Note: If the maintenance activities are completed before 9 A.M. (ET), we will end the maintenance early. The following System...
Rural Emergency Hospitals To Be Recognized As New Provider Type
Texas Health and Human Services Commission (HHSC) will allow Providers to enroll in Texas Medicaid as Rural Emergency Hospitals (REH) effective September 1, 2025. Community First Health Plans will implement the appropriate system and operational change requirements...
Support for Community First Members Impacted By Hill Country Flood
Community First Health Plans is devastated by the Hill Country floods. Our teams are here to help. Please instruct your patients who are insured by Community First and have special health care needs to contact their assigned Service Coordinator directly or call...
NEW Provider Support Line Now Available
Key Details: Community First Health Plans has created a new Provider Services line to streamline support: 210-358-6030. Make this your go-to number to replace calling different Community First numbers for different services. Call 210-358-6030 for assistance with:...
Nursing Facility Provider Notice
The Texas Health and Human Services Commission (HHSC) approved payment rates for Nursing Facilities (NF) effective September 1, 2025. HHSC will transition NF providers from the Resource Utilization Group, Version III (RUG-III) payment methodology to the Patient-Driven...