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.
On March 28, HHSC requested feedback from MCOs about updating the Electronic Visit Verification (EVV) Visit Maintenance Unlock Request (VMUR) templates. HHSC processed the feedback received from TMHP, EVV vendors and MCOs and decided to add a new option to the...
Payers will begin conducting Electronic Visit Verification Usage Reviews for Consumer Directed Services employers for dates of service on and after September 1, 2022. Beginning September 1, 2022, payers will review the EVV Usage Score for CDS employers. The notice...
There will be revisions to the Electronic Visit Verification (EVV) Policy Handbook, these revisions will publish and be effective on Sept. 1, 2022. The handbook includes EVV standards and policy requirements for: Program Providers Financial Management Services...
As stated in the Community First Provider notice posted on May 11 (“EVV Contract Awarded to Accenture and HHAeXchange”), users of the current EVV vendor systems (DataLogic/Vesta or First Data/AuthentiCare) must transition to HHAeXchange or receive approval as an EVV...
S.B. No. 1648 requires HHSC to allow a health care provider to enter a variable schedule into the electronic visit verification (EVV) system. HHSC EVV Operations released the variable schedule functionality in August 2022 for the EVV vendor systems (Vesta and...
Request for Care Management Services Form PDF If you would like to refer a member who would benefit from care management, please make a referral by emailing the Care Management referral form to chelp@cfhp.com. A care manager will contact the member to discuss the...