Jun 16, 2021 | Provider News
Effective for dates of admission on or after September 1, 2018, hospitals enrolled in Texas Medicaid may be reimbursed for inpatient neonatal services only if the hospitals have received a neonatal level of care designation from the Department of State Health Services...
May 17, 2021 | Provider News
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
May 11, 2021 | Member News
SAN ANTONIO – May 10, 2021 – Community First is proud to be a sponsor of the Urban Soccer League Association (USLA) Champions Merit Scholarship and are excited to support 10 graduating seniors with scholarships to attend the college of their choice in the fall of...
May 7, 2021 | Provider News
Community First Health Plans (Community First) is happy to announce a new partnership with RJ Health Systems (RJ Health) to roll out the RC Claim Assist tool for use by Participating Providers. RC Claim Assist gives Providers the actionable coding and units needed to...
Apr 29, 2021 | COVID, HHSC News, Provider News
On 04/23/2021, the FDA and CDC recommended the lift of the pause on Johnson and Johnson (Janssen) Covid-19 Vaccine use following a through safety review. Use of the Janssen COVID-19 Vaccine should be resumed in the United States. The FDA and CDC have confidence that...
Apr 27, 2021 | Electronic Visit Verification, HHSC News, Provider News
FMSA Cost Survey Due Date Extended to May 19, 2021 The HHSC Provider Finance Department has contracted with Deloitte Consulting to administer a cost survey for all Financial Management Services Agencies in Texas. These agencies provide administrative support for...
Apr 7, 2021 | COVID, HHSC News, Provider News
COVID-19 Pfizer Vaccine Administration Procedure Codes – Update – 05/11/2021 On May 10, 2021, in accordance with the FDA’s issuance of Emergency Use Authorization for the Pfizer COVID-19 Vaccine, vaccine administration procedure codes 0001A and 0002A are...
Apr 6, 2021 | COVID, HHSC News, Provider News
COVID-19 Moderna Vaccine Administration Procedure Codes 0011A and 0012A Rate Change Effective 4/1/2021. On December 18, 2020, in accordance with the FDA’s issuance of Emergency Use Authorization for the Moderna COVID-19 Vaccine, vaccine administration procedure codes...
Apr 1, 2021 | Provider News
Community First Health Plans has updated provider billing guidelines for 837P Professional Health Care Claims. Community First Health Plans does not intend for this to be a complete guide. The details contained in this document are supplemental and should be used in...
Mar 24, 2021 | Electronic Visit Verification, Provider News
In response to the recent severe winter weather, HHSC issued Temporary EVV Policies for Severe Winter Weather. The flexibilities are for dates of service of February 10, 2021 through February 24, 2021. The flexibilities are for program providers, financialmanagement...
