Members enrolled in a Marketplace health plan are responsible for paying their premium each month. Members that do not make their premium payments in a timely manner enter a grace period, which begins with the first month a payment is missed.During the grace period,...
Effective October 1, 2023, The Texas Health and Human Services Commission (HHSC) is amending The EVV Policy Handbook, Section 7040, Alternative Device. HHSC is reducing the use of alternative devices to modernize the EVV program, increase program integrity, and reduce...
Community First Health Plans is sharing guidance from the Texas Health and Human Services Commission (HHSC) regarding emergency preparedness for the Atlantic hurricane season, which runs from June 1 through November 30. Providers are encouraged to review and update...
Updated January 20, 2026: Community First’s partnership with Cotiviti will now launch on August 3, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
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...
Community First Health Plans is sharing information regarding TMHP’s implementation of a new login platform, TMHP IAMOnline, which will serve as the single sign‑on entry point for Texas Medicaid Provider portal applications. What Providers Need to Do: Follow the...
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