Provider Directory

Community First Provider Directories help you pick a provider for your health care needs.
It’s important that you choose a primary care provider (PCP). Your PCP will help you get your health care benefits. If you do not pick a PCP, one will be chosen for you.

 

You can call your PCP any time, day or night. Someone will always be available to take your call. If you are unable to reach your doctor and need help, call the Nurse Advice Line toll-free at 1-800-434-2347.

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ONLINE DIRECTORIES

STAR Medicaid

STAR Kids

STAR+PLUS

CHIP

CHIP Perinate & Neonate

PDF DIRECTORIES

EXCEL DIRECTORIES (Machine Readable)

Community First does not require a referral to see a specialist. Some specialists may require a referral from your PCP before they will see you. Additionally, some services require preauthorization from Community First before you can get care. Your PCP will take care of this request for you.
You can also call Member Services to find out if a certain service requires preauthorization.

Some services that do not require a referral:

  • Behavioral health services
  • OB/GYN services
  • Vision exams from an optometrist

Call Member Services if you need help finding a provider or scheduling an appointment (three-way call with the Provider and Member or Member’s Representative is available):

  • STAR, CHIP, CHIP Perinate: 210-227-2347 or toll-free at 1-800-434-2347
  • STAR Kids & STAR+PLUS: 210-358-6403 or toll-free at 1-855-607-7827

Community First Provider Directories, Member Handbooks, and Member Newsletters are available in print, free of charge. Call Member Services at 1-800-434-2347 or request a copy through the Member Portal, and we’ll mail you one within five business days.

Directories are updated weekly. Information may change at any time.

An important message for our new STAR+PLUS Members.

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