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.
Effective for dates of service on or after October 1, 2024, respiratory syncytial virus (RSV) vaccine procedure code 90683 will become a benefit of Texas Medicaid for individuals who are 60 years of age or older. Administration for procedure code 90683 may be...
Effective for dates of service on or after October 1, 2024, some COVID-19 vaccine procedure codes will no longer be a benefit for Texas Medicaid and CHIP. These changes reflect the discontinued coverage of COVID-19 vaccines that do not have full approval by the U.S....
The Texas Health and Human Services Commission (HHSC) Provider Finance Department (PFD) is surveying AFC home providers in Texas to collect information for state fiscal year (SFY) 2023.On Tuesday, September 3, 2024, the AFC SFY 2023 Survey will be available to...
In today’s fast-paced world, quick and easy access to health care is important. As a valued Member of Community First Health Plans, your well-being is our top priority. We offer many services designed to help you get the care you need when you need it. In-Home...
Community First Medicare Advantage Dual Eligible Special Needs Plan (HMO D-SNP) Members are invited to join our Enrollee Advisory Committee (EAC). We need your ideas and experience about your health care plan to make it better for yourself and others. Who can join:...
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...
Zelis® is utilizing a maintenance window for the Payspan Portal Production Maintenance – Saturday, September 21, 5 p.m. (ET) through Sunday, September 22, 12 a.m. (ET) The following System Availability chart notes affected services.
Zelis® is utilizing a maintenance window for the Payspan Portal on Saturday, September 7, 6 p.m. (ET) through Sunday, September 8, 2 a.m. (ET) The following System Availability chart notes affected services.
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...
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...