Community First is proud to offer high-quality health care coverage for individuals and families. We believe that everyone deserves access to the services and support needed to live a healthier life. We are proud to have touched the lives of over 3 million individuals since 1995.
Community First Health Plans was established in 1995 by University Health specifically to begin providing health care coverage to the citizens of Bexar and it’s seven surrounding counties.
At Community First, our mission is to not only improve the health outcomes of our Members, but also the overall health of our community. A portion of all Community First’s proceeds goes directly into improving the community we are a part of.
As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...
Attention Community First Providers: You may begin collecting CHIP COVID-19 co-pays on October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and treatment for...
Dear Community First Health Plans, Inc. Prescribers, The Texas Health and Human Services Commission (HHSC) launched a public health initiative called Texas Medicaid HepCure to reduce the rate of Hepatitis C virus (HCV) in Texas. HHSC removed administrative barriers to...
Community First Health Plans is now accepting referrals for Familiar Faces, a new program for high utilizers of inpatient and emergency department Behavioral Health Services. Familiar Faces is proposed by the UT Health Department of Psychiatry and Behavioral Sciences...
HHSC implemented a claim matching bypass on February 1, 2024 — for EVV claims with dates of service from January 1 through March 31 — to be paid without a matching EVV visit. Key Details: Program providers, financial management services agencies (FMSAs), and Consumer...
Providers with original revalidation dates between March 1, 2020 and February 28, 2022 will be given a new enrollment end-date based on the provider’s original due date and screen risk category. Providers are encouraged to submit revalidation applications immediately...