Aug 7, 2025 | Provider News, Provider Resource
For the latest on claims processing, clinical and updates resources, continuing education, compliance updates, and more, read our Community First 2025 Summer Provider Newsletter, now available on our website. Our Provider Newsletter has curated news specifically for...
Jul 23, 2025 | Provider News
The National Committee for Quality Assurance (NCQA) has implemented key changes to the HEDIS Follow-Up After Hospitalization for Mental Illness (FUH) measure. These updates expand Provider and service eligibility, making it easier to meet the measure and support...
Jul 14, 2025 | Provider News
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...
Jul 8, 2025 | Provider News, Provider Resource
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...
Jul 8, 2025 | Provider News, Provider Resource
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...
Jun 26, 2025 | Provider News, Provider Resource
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...
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