Community First
Provider Network
Welcome to your essential online hub, designed exclusively for Community First health care professionals. Discover resources to support your practice and stay current with state news and training to provide the best care for your patients. Read the latest provider notices and Community First network news.
Provider Portal
Provider Manuals
Education & Trainings
Provider Resources
Partner With Us
Join our community-trusted network of 30 years! Complete the letter of interest form and allow up to 30 days for evaluation and response to your inquiry. Learn more about the credentialing process.
Update your enrollment and demographic information with Texas Medicaid Healthcare Partnership, HHSC’s enrollment administrator and authoritative source for HHSC Providers.
Partner With Us
Join our community-trusted network of 30 years! Complete the letter of interest form and allow up to 30 days for evaluation and response to your inquiry. Learn more about the credentialing process.
Update your enrollment and demographic information with Texas Medicaid Healthcare Partnership, HHSC’s enrollment administrator and authoritative source for HHSC Providers
Quick Links
Health Plans
Prior Authorizations
Provider Incentives
Claims & Approval
EVV
Service Area
Member Rights & Responsibilities
FAQ
Quick Links
Health Plans
Prior Authorizations
Provider Incentives
Claims & Approval
EVV
Service Area
Member Rights & Responsibilities
FAQ
Provider Relations Directory
Community First’s dedicated team of Provider Relations Representatives is available to support your office’s daily functions. Refer to our directory for contact information by specialty or to address any questions you may have.
Provider Relations Directory
Community First’s dedicated team of Provider Relations Representatives is available to support your office’s daily functions. Refer to our directory for contact information by specialty or to address any questions you may have.
Texas Medicaid/CHIP Vendor Drug Program
Learn more about the Texas Medicaid/CHIP Vendor Drug Program and access Medicaid formularies and preferred drug lists here.
Texas Medicaid/CHIP Vendor Drug Program
Learn more about the Texas Medicaid/CHIP Vendor Drug Program and access Medicaid formularies and preferred drug lists here.
Contact Information
Provider Hotline
Provider Hotline: 210-358-6030
Call for assistance with:
- Member benefits or eligibility
- Authorizations
- Scheduling non-emergency medical transportation for a patient
- Service coordination
- Questions regarding claims
- Provider contracts
- Provider Portal
Provider Quick Reference Guide
Browse this reference guide for contact information and essential administrative procedures at a glance.
FILE A PROVIDER COMPLAINT OR APPEAL
To file a Provider complaint or appeal, please use the following contact information:
FILE A MEDICAID MANAGED CARE COMPLAINT
Medicaid managed care providers can also submit complaints and inquiries directly to HHSC Managed Care Compliance and Operations (MCCO) via:
Community First Provider Newsletters
Receive provider news, claims processing updates, and other helpful info by subscribing to our E-Newsletter.
Can't Find What You Need?
Please call the Provider Hotline at 210-358-6030 from 8:00 a.m. – 5:00 p.m. Monday – Friday.
If you are a provider and need to reach Community First Health Plans after hours or on weekends, please call 1-800-434-2347.