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.
Beginning June 1, 2021 Community First will require the EP1 Benefit Code on all THSteps claim submissions. This requirement is for providers who enroll separately with Medicaid and obtain a TPI to render THSteps services. Claims submitted without the...
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ...
Information posted December 2, 2016Note: This article applies only to claims submitted to TMHP for processing. Refer to the Medicaid managed care organizations (MCOs) for information about MCO benefits, limitations, prior authorization, reimbursement, and MCO specific...
Program providers, financial management services agencies (FMSAs) and Consumer Direct Services (CDS) employers should not submit Visit Maintenance Unlock Requests (VMURs) for dates of service prior to going live with HHAeXchange or their EVV proprietary system. HHSC...
Effective November 22, 2021, licensed behavior analysts (LBAs) must attest to where services will be provided so that the Texas Health and Human Services Commission (HHSC) can determine applicable site visit requirements for enrollment in Texas Medicaid. This change...
Your Patients’ Medicaid Coverage May Be Impacted by the End of the COVID-19 Public Health Emergency Continuous Medicaid Coverage May End Soon Your patients’ Medicaid coverage may be impacted by the end of the COVID-19 federal public health emergency (PHE). Medicaid...