Effective June 15, 2026, and applicable to all Community First Marketplace plans, claims for dates of service during a Member’s policy grace period that were previously paid may be adjusted or recouped if the Member’s coverage is retroactively terminated due to non-payment of premium due.
Providers are encouraged to verify Member eligibility, coverage, and policy status prior to rendering services.
Action:
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter