Jul 27, 2022 | Health and Wellness Blog, Member News
The first few weeks of a new school year can be a tough adjustment for everyone. It can be hard to find the time to pack healthy, yummy lunches and snacks for your little ones. Check out these fun, fast, and affordable ideas! Stick a toothpick in it! Stick a toothpick...
Feb 1, 2023 | Provider News
A new authorization module is now live in the Community First Provider Portal. Providers will use this module to submit authorization requests for Specialist, Outpatient, and Admission. Please refer to this User Guide for step-by-step guidance on how to use this new...
Jan 31, 2023 | Member News
A Winter Storm Warning and Winter Storm Advisory is in effect for most of South Central Texas, including Community First Health Plans service area, through the morning of Thursday, February 2. Several rounds of freezing rain are expected. Community First Health Plans...
Jan 31, 2023 | Provider News
A Winter Storm Warning and Winter Storm Advisory is in effect for most of South Central Texas, including Community First Health Plans service area, through the morning of Thursday, February 2. Several rounds of freezing rain are expected. Freezing weather can be...
Jan 27, 2023 | Health and Wellness Blog
The beginning of the year is an excellent time to schedule your annual wellness checkup (also sometimes called a “physical” or “well visit”). But if you’re feeling good and nothing seems wrong, do you really need to make an appointment?...
Jan 9, 2023 | EVV News, Medicaid, Provider News
Key Details: S.B. No. 1648 requires HHSC to allow a health care provider to enter a variable schedule into the electronic visit verification (EVV) system. HHSC EVV Operations released the variable schedule functionality in August 2022 for the EVV vendor systems (Vesta...
Jan 9, 2023 | Provider News, STAR, STAR Kids
Case Management for Children and Pregnant Women is a Medicaid benefit that provides health-related case management services to children birth through 20 years of age with a health condition and to high-risk pregnant women of any age. Case managers help clients gain...
Dec 30, 2022 | Provider News
New HB 3459 has become effective as of October 1, 2022. View the attached document for a general overview of the bill and to learn Community First Health Plan’s process for exemption evaluation. HB 3459 FAQs
Dec 9, 2022 | Commercial, HIE Providers, HMO Providers, Providers
Coming in February 2023, a new and improved authorization request experience! Community First is making improvements to our Provider Portal to make it easier to submit an authorization request. More information and how-to guide coming soon. Stay tuned!
May 31, 2022 | Community First Providers
Community First Claim Appeal Form (PDF) Providers have the right to appeal the denial of a claim by Community First Health Plans. To file an appeal, Providers should complete the Community First Claim Appeal Form (linked above). Mail the completed form, a copy of the...
