Beginning Sept. 1, the Texas Health and Human Services Commission (HHSC) will transition Medicaid-only services for dually eligible clients (clients who are eligible for both Medicare and Medicaid) enrolled in Medicaid managed care from a fee-for-service (FFS) to a...
Dear Valued Zelis® Customer: Zelis® is utilizing a maintenance window for the Payspan Portal from 5:00 P.M. (ET) – 8:00 P.M. (ET) on Saturday, August 16, 2025. Note: We will end the maintenance early if the activities are completed by 8:00 P.M....
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...
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...
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...
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...
Open Enrollment begins November 1! Community First offers qualified health plans on the Health Insurance Marketplace® for every budget and health care need. Questions? Call 1-888-512-2347 to speak with our licensed Marketplace team.
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