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

Hepatitis C Information Letter for Prescribers

May 15, 2024 | Medicaid Providers, Provider Resource

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...

Surgical Procedure Anatomical Modifier Requirement Effective August 5, 2024

May 6, 2024 | Provider News, Provider Resource

Centers for Medicare & Medicaid Services (CMS), Medicare Claims Processing Manual – Chapter 23 – Fee Schedule Administration and Coding Requirements indicates that “Providers or suppliers shall use anatomic modifiers (e.g., RT, LT, FA, F1-F9, TA, T1- T9,...

Vaccine Services Procedure Code 90623 is Now Available Through TVFC Effective April 1, 2024

Apr 22, 2024 | HHSC News, Provider News, Provider Resource

Effective for dates of service on or after April 1, 2024, vaccine services procedure code 90623 is now available through the Texas Vaccines for Children (TVFC) program for clients who are 10 years through 18 years of age. Note: Procedure codes for vaccines...

EVV Claims Matching Bypass from January 1st to March 31st

Feb 12, 2024 | EVV News, HHSC News, Medicaid Providers, Provider News, Provider Resource

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...

Register for the EVV HHAeXchange Forum Webinar on February 23, 2024

Feb 22, 2024 | Community First Providers, EVV News, HHSC News, Provider Resource

HHAeXchange is hosting a Provider Forum: Navigating HHAeXchange webinar on February 23, for EVV program providers and financial management services agencies (FMSAs) who use HHAeXchange as their EVV system. The webinar will provide an overview of the HHAeXchange...

Payspan Portal Production Maintenance – Saturday 2/17/24, 5PM ET – Sunday 2/18/24, 2AM ET

Feb 15, 2024 | Community First Providers, Provider Resource

Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday 2/17/24, 5PM ET – Sunday 2/18/24, 2AM ET.The following System Availability chart notes affected services.