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: HHSC News

2024 – 2025 COVID-19 Vaccines Added to Pharmacy Benefit Effective September 10, 2024

Sep 23, 2024 | HHSC News, Medicaid Providers, Provider Resource

As of September 10, 2024, the following 2024-25 COVID-19 vaccines are a payable pharmacy benefit for Medicaid and CHIP Members. National Drug Codes (NDC)Vaccine Label Name 80777011001SPIKEVAX 2024-25 (12Y UP)80777011093SPIKEVAX 2024-25 (12Y UP)80777011096SPIKEVAX...

Updated Texas Administrative Code (TAC) References in CDS Forms

Aug 30, 2024 | HHSC News, Provider Resource

As part of the transformation of the Health and Human Services (HHS) system, rule chapters are being relocated in the Texas Administrative Code (TAC). Effective September 1, 2024, rules in 40 TAC Social Services and Assistance, Part 1, Department of Aging and...

Update to Smallpox and Mpox Vaccine Reimbursement for Texas Medicaid

Jul 10, 2024 | HHSC News, Provider News

For dates of service on or after May 1, 2024, the Smallpox and Mpox vaccine (procedure code 90611) may be reimbursed for the following provider types and places of service for clients who are 18 years of age or older: Procedure code 90611 was previously processed as...

Additional 2023 CPC Cost Report Training Information for LTSS STAR+PLUS Providers

Aug 16, 2024 | EVV News, HHSC News, Provider Resource

The HHSC Provider Finance Department provided the Information Letter No. 2023-44 Cost Report and 2023 and 2024 Accountability Report Training Information. CPC (Primary Home Care [PHC], Community Living Assistance and Support Services [CLASS], Direct Service Agency...

Nursing Facility Billing reminders and Clean Claim Requirements

Jun 27, 2024 | HHSC News, Provider News, Provider Resource

The purpose of this communication is to assist Community First Health Plans, Inc. (Community First) STAR+PLUS contracted providers with billing nursing facility claims. This update provides instructions and answers to frequently asked questions by nursing facility...

Co-pays for CHIP COVID-19 services will resume starting October 1, 2024

Jun 25, 2024 | HHSC News, Medicaid Providers, Provider News

Attention Community First Providers: You may begin collecting CHIP COVID-19 co-pays on October 1, 2024. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived co-pays for COVID-19 vaccines, testing, and treatment for...