Contact Us

If you have any questions, please contact us. Community First Health Plans Member Services representatives can take your call during our business hours.

If you need medical advice, you can reach a registered nurse 24 hours a day, 7 days a week through our Nurse Advice Line. They can answer your health questions after hours, weekends, and holidays.

Our staff is bilingual in English and Spanish. If you speak another language and need an interpreter, we can arrange one for you. If you have difficulty hearing or speaking, please dial 711. We can help you.

If you’re having a medical emergency, dial 911 or go to the nearest emergency room. If you or someone you love is suicidal or experiencing a mental health or substance use crisis, dial 988.

Community Office

Avenida Guadalupe
1410 Guadalupe Ste. #222
San Antonio, TX 78207

Corporate Office

12238 Silicon Drive, Suite 100
San Antonio, TX 78249

Member Services

STAR/CHIP: 210-227-2347 or toll-free 1-800-434-2347
STAR Kids: 210-358-6403 or toll-free 1-855-607-7827
Monday-Friday, 8 a.m. to 5 p.m.

TTY: 711
24 hours a day, 7 days a week      

STAR Medicaid

210-358-6060 or toll-free 1-800-434-2347
Monday-Friday, 8 a.m. to 5 p.m.

CHIP/CHIP Perinatal

210-358-6300 or toll-free 1-800-434-2347
Monday-Friday, 8 a.m. to 5 p.m.

 

STAR Kids

210-358-6403 or toll-free 1-855-607-7827
Monday-Friday, 8 a.m. to 5 p.m.

STAR Kids Behavioral Health Hotline

1-844-541-2347
24 hours a day, 7 days a week

 

TTY

711
24 hours a day/7 days a week
Call this number if you have difficulties hearing or speaking.      

Nurse Advice Line

1-800-434-2347

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 USE line:

1-877-221-2226

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 see a specialist or get a referral for specialty care, please contact Community First Member Services. Community First does not require a referral to see a specialist in your health plan’s network. 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-network provider, authorization from Community First is required to see that specialist. Community First can assist you, your PCP, and the specialist with the 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, call 1-800-434-2347.

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.

Medicaid Managed Care Program HelpLine

Health plan enrollment

STAR Program: 1-866-566-8989
Monday-Friday, 8 a.m. to 5 p.m.

STAR Kids Program: 1-800-964-2777
Monday-Friday, 8 a.m. to 6 p.m.

TTY Line for hearing impaired (STAR): 1-800-735-2989

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.

Provider Services

Providers can speak with a Provider Relations Representative about our health plans, Member benefits, and more.

STAR/CHIP Provider Hotline
210-358-6030 (Claims Assistance)  |  210-358-6294 (General Inquiries)
Monday-Friday, 8:30 a.m. to 5 p.m.

STAR Kids Provider Hotline
210-358-6403 or toll-free 1-855-607-7827

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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