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.
Electronic Visit Verification (EVV) will be implemented for Medicaid home health care services (HHCS) on Jan. 1, 2024. Program providers and financial management services agencies (FMSAs) can refer to the bill codes table to familiarize themselves with the specific...
Effective December 24, 2023, for all lines of business, when a facility bills two Emergency Room Evaluation and Management (E&M) services for the same date of service, a modifier 27 must be included on one of the E&M services. In the absence of the...
The purpose of this notice is to inform MCOs that the EVV Alternative Device Policy is updated and available to view on the EVV webpage. Key Details: HHSC has posted the new and revised policies for alternative devices effective October 1, 2023, that will be added to...
HHSC has updated the alternative device policy notice posted on July 17. In addition to allocating free alternative devices to 7.5% of the program Providers or Financial Management Services Agencies (FMSAs) census (rounded to the nearest whole number), HHSC is...
In order to meet EVV compliance requirements, program Providers and financial management services agencies (FMSAs), that are transitioning to HHAeXchange or have recently enrolled to offer personal care services (PCS), must complete the onboarding process and undergo...
Program providers, financial management services agencies (FMSAs), Consumer Directed Services (CDS) employers, service attendants and CDS employees may continue using their current EVV systems, AuthentiCare (First Data) or Vesta (DataLogic) through September 30, 2023,...
Community First Members affected by severe weather can contact Member Services at 1-800-434-2347 for support. If you have special health care needs and need assistance, please contact your assigned Service Coordinator directly.