Provider News
Mental Health Resource for Families – NAMI Basics
Community First has partnered with NAMI Greater San Antonio to offer Community First Members a free, education and support program designed specifically for parents and caregivers of youth (17 and younger) experiencing mental health symptoms or who have a diagnosed...
Reminder: SafeRide Health Provides Transportation Services for Community First Medicaid and Medicare Members
A healthier Member is our goal, and it starts with reliable transportation. Community First Health Plans partners with SafeRideHealth to provide an improved Member experience through their transportation benefit program. Non-emergency medical transportation (NEMT)...
STAC Asthma Action Plan Available: Guidance for Health Care Providers
Managing asthma in children requires collaboration between health care providers, parents, and caregivers. ALL children with asthma should have an Asthma Action Plan filled out by their health care provider. As a reminder, the South Texas Asthma Coalition (STAC)...
NEW! Quick Reference Guide for Providers – Updated Contact Information
Use the NEW Community First Provider Quick Reference Guide to easily access information providers use most, including: Provider Services contact information Authorizations fax numbers Claims information This guide makes it easier to navigate key operational processes...
Revised Implementation Timeframes of CLIA Certification Data
Beginning December 1, 2025, HHSC is requiring a phased approach to claim edits related to CLIA certification Data: Soft Edit Period (No later than March 1, 2026) A soft edit will be implemented to help providers correct CLIA information that does not match the PEMS...
Update: Laboratory Services Require Updated CLIA Certification in PEMS
Read about the Revised Implementation Timeframes of CLIA Certification Data here. All Providers who perform or bill laboratory services must comply with the Clinical Laboratory Improvement Amendments (CLIA). To meet these requirements, Providers must have an active...