Provider News
Summer 2025 Provider Newsletter Now Available!
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...
Important Updates to the 2025 FUH (Follow-Up After Hospitalization for Mental Illness) Measure
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...
Pharmacy Benefit Updates Related to July 2025 Hill Country and Central Texas Flooding
Due to the severe flooding that impacted communities in the Texas Hill Country on July 4, 2025, the Texas Health and Human Services Commission (HHSC) has issued updated pharmacy benefit guidance. For Members: If you were affected by the flooding, you may now be...
Payspan Portal Production Maintenance – Saturday, July 19, 8:00 P.M. (ET) through Sunday, July 20, 9:00 A.M. (ET)
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...
Rural Emergency Hospitals To Be Recognized As New Provider Type
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...
Support for Community First Members Impacted By Hill Country Flood
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...