Prior Authorizations

Your Questions Answered

Community First Health Plans requires that certain services be authorized prior to being rendered.

Are You A Community First Member?

Learn more about referrals to specialists and prior authorization requests to help make the right choice for your family. 

The following documents are a detailed description of the different authorization processes and request forms required for Community First Health Plans:

Request Forms

See the full list of Prior Authorizations required for medical procedures/services by contracted and non-contracted providers below:

For a full list of Prior Authorizations compliant with Senate Bill 1742, please see the Prior Authorizations Compliant with SB1742 list.

Annual Review Report

Plan Year:

2021 Prior Authorizations Statistics

2020 Prior Authorization Statistics

2019 Prior Authorization Statistics

We Are Here To Help

We are happy to answer any questions you may have. Call 800-434-2347, Monday – Friday, 8 am – 5 pm to speak with a representative who can help. 

If you have questions after hours, call the Community First Nurse Advice Line at 1-800-434-2347 available 24 hours a day, 7 days a week, 365 days a year to help you get the care you need.

We have launched a new secure portal for both Members and Providers! You will need to create a new account to access it. Register now!

Member Portal
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