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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 business. They will be able to assist you with any eligibility inquiries you may have.

Alternatively, eligibility information is also accessible through our secure Provider Portal. We encourage you to utilize this resource for a quick and efficient eligibility check.

If you have any further questions or need clarification on this process, please do not hesitate to reach out to Provider Relations.


Email or call 210-358-6294.


Next steps for Providers: 

Providers should share this communication with their staff.

Community First Resources:

⚠❗ Attention Community First Members! The COVID-19 Public Health Emergency has ended. All Medicaid and CHIP Members must renew their coverage to keep receiving benefits.

Member Portal
Provider Portal