Provider News
How to Handle Appeals for Recoupments Due to HHSC Retroactive Eligibility Changes
Member eligibility changed from one Managed Care Organization (MCO) to another on the date of service.Providers may appeal claims payment recoupments and denials of services by submitting the following information to the appropriate MCO to which the Member eligibility...
Flood Watch: Weather Advisory & Important Information for Community First Providers
A Flood Watch will go into effect Wednesday, September 30 at 7 p.m. for San Antonio and surrounding areas. Heavy rainfall and severe thunderstorms could bring several inches of rain and potentially dangerous flash flooding. Please share the following information with...
Coming Soon: A Better Provider Experience with the New Community First Health Plans Provider Portal Powered by Availity™
Community First Health Plans is excited to introduce Availity™ as our upcoming Provider Portal platform, launching January 2, 2027.
Hispanic Heritage Month: How Providers Can Better Serve the Latino Community
Each year, Hispanic Heritage Month (September 15 – October 15) honors the history, culture, and contributions of Latino communities in the United States. It is also a time to reflect on the unique challenges these communities face in accessing quality health care and...
Seasonal Influenza Vaccination: Provider Resources and PCP Incentive
Physicians can improve flu vaccination rates by combining a strong recommendation with convenient access and patient-centered communication. A personal, clear recommendation from a providers is one of the most important factors influencing patients and caregivers....
Important Notice: 2027 Maternity Care Coding Updates
Effective January 1, 2027 The American Medical Association (AMA) has released significant revisions to the CPT® Maternity Care Services section that will become effective January 1, 2027. These changes affect how maternity care services are reported and include the...