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...
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...
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
The Texas Health and Human Services Commission (HHSC) has announced updates to the rollout of the Provider Enrollment and Management System Plus (PEMS+). Community First Health Plans is sharing this important information to help Providers prepare for upcoming changes....
The Texas Health and Human Services Commission (HHSC) has postponed the planned update to the Provider Enrollment and Management System (PEMS) that would enable provider credentialing. This functionality will be added later in 2025. More information will be published...
Community First Health Plans is requiring Providers to ensure their information is aligned across the Provider Enrollment and Management System (PEMS) Master Provider File effective May 30, 2025. As a Managed Care Organization (MCO), Community First Health Plans will...
Recent Comments