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.
Request for Care Management Services Form PDF If you would like to refer a member who would benefit from care management, please make a referral by emailing the Care Management referral form to chelp@cfhp.com. A care manager will contact the member to discuss the...
In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long-term services and supports (LTSS) billing codes to comply with the National Correct Coding Initiative (NCCI) by...
On July 13, 2022, HHSC published Information Letter No. 2022-40. Community First Health Plans is republishing this information at HHSC’s request. The purpose of this notice is to require FMSAs to provide copies of the EVV notices listed below to CDS employers and...
Effective for dates of service on or after June 17, 2022, COVID-19 vaccine administration procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A are benefits of Texas Medicaid and CHIP. HHSC will cover procedure codes 0081A, 0082A, 0083A, 0111A, 0112A, and 0113A...
The Provider Enrollment and Management System (PEMS) fully deployed on December 13, 2021. The system introduced new business rules for enrollment in Texas Medicaid. Prior to the PEMS implementation, the provider billing effective date could be either the Medicare...
Effective for dates of service on or after June 17, 2022, in accordance with the U. S. Food and Drug Administration (FDA) amendment to the Emergency Use Authorization (EUA), COVID-19 vaccine administration codes 0011A, 0012A, and 0013A are benefits of Medicaid and...