Nov 1, 2023 | HHSC News, Provider News, Provider Resource
Community First Health Plans does not accept eligibility requests via any clearinghouse. To verify Member eligibility, refer to our comprehensive Provider Quick Reference Guide and get in touch with the Member Services department corresponding to your specific line of...
Apr 21, 2025 | HHSC News, Provider News, Provider Resource
HHSC published Information Letter No. 2024-15 regarding the 2024 Cost Report and 2024 and 2025 Accountability Report Training Information. Preparers must attend cost report training for every program for which a cost or accountability report is submitted. If...
Apr 15, 2025 | HHSC News, PEMS, Provider News
Beginning May 30, 2025, the Provider Enrollment and Management System (PEMS) will be enhanced to streamline the process for Texas Medicaid enrollment and credentialing with Community First Health Plans, Inc. (Community First). This new feature will allow Providers to...
Mar 31, 2025 | EVV News, HHSC News, Provider News, Provider Resource
HHSC’s Provider Finance Department (PFD) is providing a list of 2024 Cost Reports required for STAR+PLUS Long-Term Services and Supports (LTSS). The Providers listed in the attachment have a required 2024 cost report due on April 30, 2025. In accordance with 1 TAC...
Mar 25, 2025 | HHSC News, Provider News, Provider Resource
The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key Details: State Medicaid...
May 31, 2024 | HHSC News, PEMS, Provider News
The Texas Medicaid & Healthcare Partnership (TMHP) is reviewing enrollment information for National Provider Identifier (NPI) in the Provider Enrollment and Management System (PEMS). During this review, discrepancies were found between the provider taxonomy codes...
Recent Comments