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...
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,...
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...
Effective February 1, 2026, the Texas Department of Insurance (TDI) will require all applicable health plans to use state‑mandated uniform Coordination of Benefits (COB) questionnaires. Health plans must also accept these forms when submitted by either Providers or...
Effective January 1, 2026, and applicable to all Community First Marketplace plans (University Community Care Plan), a patient’s health plan of record at the date of an inpatient admission is responsible for payment of all covered inpatient facility and professional...
In accordance with House Bill 3940 (89th Legislature, Regular Session), effective January 1, 2026, Providers are required to distribute updated information regarding Newborn Medicaid Coverage to the parent or caregiver of a newborn child. Key Details: Newborns are...
Community First Members affected by severe weather can contact Member Services at 1-800-434-2347 for support. If you have special health care needs and need assistance, please contact your assigned Service Coordinator directly.
