If you have any questions, call us. Community First Health Plans Member Services staff can take your call during our business hours. You can reach a nurse 24 hours a day, 7 days a week. They can answer your health questions after hours, weekends, and holidays. Our staff is bilingual in English and Spanish. If you speak another language or are hearing impaired and need an interpreter, call Member Services. We can help you.
For Emergency Services dial 9-1-1 or go to the nearest emergency room.
1410 Guadalupe Ste. #222
San Antonio, TX 78207
San Antonio, TX 78249
Nurse Advice Line
Community First Health Plans has a toll-free Nurse Advice Line available 24 hours a day, 7 days a week to help you get the care you need. A Registered Nurse can help provide medical advice.
Behavioral Health & Substance misuse line:
1-877-221-2226 (STAR/CHIP) | 1-844-541-2347 (STAR Kids)
Call 24 hours a day, 7 days a week toll-free to talk to someone if you need help right away. You do not need a referral for mental health or substance misuse services.
If you need to seek a specialty consultation or obtain a referral for specialty care, please contact Community First Member Services. Community First does not require a referral to see an in-plan specialist. Some specialists require or prefer to have a “referral” from your primary care provider (PCP) before they see you. You should ask your PCP to confirm with the specialist if a referral is needed. If the specialist is not an in-plan provider, authorization for services from Community First is required to see that specialist. The Community First Population Health Management team will assist you, the PCP, and the specialist with the service authorization process. Community First will also try to recruit the provider to our network of providers.
Member Handbooks, Provider Directories, and Member Newsletters are all available in print, free of charge, and mailed within 5 business days. To request your copy simply call 1-800-434-2347 or make a request through the secure Member Portal.
Community First provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, please contact Member Services at 1-800-434-2347 (STAR/CHIP) or 1-855-607-7827 (STAR Kids).
Member Services line
(210) 227-2347 or toll-free 1-800-434-2347 (STAR/CHIP) | (210) 358-6403 or toll-free 1-855-607-7827 (STAR Kids)
Monday-Friday 8 a.m. to 5 p.m.
TTY (210) 358-6080 or toll-free 1-800-390-1175
24 hours a day/7 days a week
(210) 358-6060 or toll-free 1-800-434-2347
Monday-Friday, 8 a.m. to 5 p.m.
STAR Kids Members can speak to a dedicated Service Coordinator for help understanding the STAR Kids program and benefits.
STAR Kids Behavioral Health Hotline:
Providers can speak with a Provider Relations Representative about our health plans, Member benefits, and more.
Provider Services Hotline
(210) 358-6030 (Claims Assistance) | (210) 358-6294 (General Inquiries)
Monday-Friday, 8:30 a.m. to 5 p.m.
For after-hours assistance, please call 1-800-434-2347.
STAR Kids Provider Hotline
(210) 358-6403 or toll-free 1-855-607-7827
Medicaid Managed Care Program HelpLine
Health plan enrollment
STAR Program: 1-800-964-2777
Monday-Friday, 8 a.m. to 6 p.m.
STAR Kids Program: 1-877-782-6440
Monday-Friday, 8 a.m. to 6 p.m.
TTY Line for hearing impaired (STAR): 1-800-735-2889
TTY Line for hearing impaired (STAR Kids): 1-800-267-5008
State Fair Hearing
If you disagree with our internal appeals decision to cover a health care service, you can ask for a State Fair Hearing.
If you ask for a State Fair Hearing, you can also ask for an External Medical Review where independent health care experts review your request to receive services.
You must make a request for a State Fair Hearing with or without an External Medical Review by 120 days from the date the notice informing you of our internal appeals decision has been mailed.