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

Update: Laboratory Services Require Updated CLIA Certification in PEMS

Feb 25, 2026 | PEMS, Provider News, Provider Resource

Read about the Revised Implementation Timeframes of CLIA Certification Data here. All Providers who perform or bill laboratory services must comply with the Clinical Laboratory Improvement Amendments (CLIA). To meet these requirements, Providers must have an active...

Revised Implementation Timeframes of CLIA Certification Data

Feb 26, 2026 | PEMS, Provider News, Provider Resource

Beginning December 1, 2025, HHSC is requiring a phased approach to claim edits related to CLIA certification Data: Soft Edit Period (No later than March 1, 2026) A soft edit will be implemented to help providers correct CLIA information that does not match the PEMS...

New DSHS Resources to Support Congenital Syphilis Prevention and Care

Feb 25, 2026 | Provider News, Provider Resource

Texas continues to see rising rates of congenital syphilis, highlighting the continued vigilance in prenatal care. Early screening, timely diagnosis, and appropriate treatment during pregnancy are critical to preventing transmission and improving outcomes for infants....

Clearinghouse Eligibility Transactions

Nov 1, 2023 | HHSC News, Provider News, Provider Resource

Community First Health Plans does not accept eligibility requests via any clearinghouse. To verify Member eligibility, refer to our comprehensive Provider Quick Reference Guide and get in touch with the Member Services department corresponding to your specific line of...

POSTPONED – Adult Vaccines Added to the Pharmacy Benefit

Jan 29, 2026 | Provider News, Provider Resource

The Texas Vendor Drug Program (VDP) has notified managed care organizations that the planned expansion of adult vaccine coverage under the Medicaid pharmacy benefit has been postponed and will not go live on February 2, 2026. This update is related to the October 13,...

Winter Weather Alert – Cold Weather Resources

Jan 21, 2026 | Provider News, Provider Resource

A strong, arctic cold front is expected this week, beginning Saturday, January 24, and lasting through Monday, January 26. Freezing weather can be dangerous. We want to make sure our community is prepared. Here are some helpful resources. Please share with...