Partner with Us

Providers

Thank you for choosing to partner with Community First Health Plans.

We look forward to continued collaboration with our provider partners to deliver quality care, improve outcomes, and increase satisfaction for members.

Providers can review all available COVID-19 Vaccine Information and Resources for guidance related to the COVID-19 vaccine.

Welcome, Providers!

Here you will find helpful materials and resources meant specifically for providers and office staff. 

Provider Services Hotline:
(210) 358-6294 and (210) 358-6030 

For after hours assistance, please call 1-800-434-2347.

Prior Authorizations

Information on referrals and prior authorizations required by Community First Health Plans.

CHIP / CHIP Perinatal

The Children’s Health Insurance Program (CHIP) and CHIP-Perinatal Program provides low cost services to children, pregnant woman and unborn children of non-Medicaid eligible women.

STAR Kids

The program is the first Medicaid managed care program specifically for people who are 20 and younger, have a disability, and use Medicaid.

STAR Medicaid

STAR Medicaid is a managed care program for families without health insurance. Families with children on Medicaid pay nothing for healthcare services.

Provider FAQ

Do you have a question? Take a look at some of our most frequently asked questions.

EVV

Electronic Visit Verification

Provider Portal

Community First’s Provider Portal is an interactive secure website offered by our health plan for contracted providers.

Members Rights and Responsibilities

Information on Members Rights and Responsibilities including referrals and prior-authorization. 

Provider Resources

Community First Health Plans is glad to partner with our providers to help deliver quality healthcare to our members. Please click here to utilize these resources we have available for you.

HHSC Updates

Stay updated with all HHSC news!

Our Network

Community First Health Plans service areas

PROVIDER INCENTIVES

Community First offers incentives to our network providers.
To see what incentives are currently available, log in to the secure Community First Provider Portal.  

Can’t find what you need?

Please contact the Provider Hotline at 800-214-4844 from 8:00AM – 5:00PM, Monday – Friday.  

If you are a provider and need to reach CFHP after hours or on weekends, please call (210) 227-2347.

⚠❗ Attention Community First Members! The COVID-19 Public Health Emergency has ended. All Medicaid and CHIP Members must renew their coverage to keep receiving benefits.

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