Community First Insurance Plans is accepting applications from physicians and providers who wish to participate in its EPO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community First Insurance...
Provider News
Marketplace Enrollment and Inpatient Payment Responsibility
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...
Application Notice for Physicians and Providers to Contract with Community First
Community First Health Plans, Inc. is accepting applications from physicians and providers who wish to participate in its Commercial HMO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community...
Newborn Medicaid Coverage Notice – Effective January 1, 2026
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 Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Updated January 20, 2026: Community First's partnership with Cotiviti will now launch on August 3, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
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