Health Plans
- - - 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.
      
      LEARN ABOUT OUR HEALTH PLANS
  - - Medicaid
  - - Medicare
      - Medicare Advantage Alamo (HMO)
      - Medicare D-SNP (HMO)
  - - Marketplace
      - University Community Care Plan (UCCP)
  - - Commercial
      - University Family Care Plan (UFCP)
      - Commercial HMO
About
- - - 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.
  - - University Health
    - Careers
Community Impact
- - - 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.
News & Events
- - - Stay up-to-date with the latest Community First news, learn about upcoming community events, and read helpful articles from our blog.
Providers
Contact
- - - We are local and ready to help!
  - - Media Contact
    - Media Kit

Health Plans
- - - 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.
      
      LEARN ABOUT OUR HEALTH PLANS
  - - Medicaid
  - - Medicare
      - Medicare Advantage Alamo (HMO)
      - Medicare D-SNP (HMO)
  - - Marketplace
      - University Community Care Plan (UCCP)
  - - Commercial
      - University Family Care Plan (UFCP)
      - Commercial HMO
About
- - - 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.
  - - University Health
    - Careers
Community Impact
- - - 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.
News & Events
- - - Stay up-to-date with the latest Community First news, learn about upcoming community events, and read helpful articles from our blog.
Providers
Contact
- - - We are local and ready to help!
  - - Media Contact
    - Media Kit

Category: Provider Resource

Electronic Funds Transfer (EFT) Fraud Scheme

Mar 25, 2025 | HHSC News, Provider News, Provider Resource

The U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) and law enforcement partners have issued an alert regarding fraudulent attempts to reroute Electronic Funds Transfers (EFTs) to fraudulent accounts. Key Details: State Medicaid...

Reimbursement Update for High-Cost Clinician-Administered Drugs (HCCADs)

Mar 18, 2025 | Provider Resource

Effective June 2, 2025, there will be a change in reimbursement for the following High-CostClinician-Administered Drugs (HCCAD): · ABECMA· BREYANZI· CARVYKTI· CASGEVY· ELEVIDYS· HEMGENIX· KYMRIAH· LYFGENIA· ROCTAVIAN· SKYSONA· TECARTUS· YESCARTA· ZOLGENSMA· ZYNTEGLO...

NEW! SafeRide Health To Provide Transportation Services for Community First Medicaid and Medicare Members Beginning April 1

Mar 12, 2025 | Provider News, Provider Resource

A healthier Member is our goal, and it starts with reliable transportation. Effective April 1, 2025, Community First Health Plans will partner with SafeRide Health to improve the Member experience through their transportation benefit program. Non-emergency medical...

Upcoming Webinars on Revalidation Due Date Extension and Retroactive Enrollment Period

Feb 18, 2025 | Provider News, Provider Resource

Community First Health Plans is notifying Providers about upcoming webinars hosted by the Texas Medicaid & Healthcare Partnership (TMHP). These webinars will address key updates regarding revalidation due date extensions and retroactive enrollment period effective...

January 2025 Medicaid Preferred Drug List Update

Feb 11, 2025 | Provider News, Provider Resource

The January 2025 Medicaid Preferred Drug List (PDL) is now available. This latest update includes significant changes approved during the July and October 2024 Drug Utilization Review Board meetings. These updates impact formulary details, prior authorization...

Collaborative Care Model Attestation Process to Update on August 1, 2024

Jul 23, 2024 | PEMS, Provider News, Provider Resource

Effective August 1, 2024, the Attestation Form for the Collaborative Care Model (CoCM) in Texas Medicaid will be removed from the Texas Medicaid & Healthcare Partnership (TMHP) website and made available in the Provider Enrollment and Management System (PEMS). Key...