Provider Health Plans

Community First Health Plans offers several quality health care plans specially designed to meet the unique health care needs of our local community. We appreciate your service in providing the best care for our Members.

Access Your Service Network

Already a Provider in our network? Review important plan updates and news, and learn about plan benefits, value-added services, and health & wellness programs available to members by selecting the health plan you service from the menu below.

Become A Provider

Are you interested in becoming a Provider in our network? Please fill out the Letter of Interest form below.

STAR Medicaid

A Medicaid health care program that covers children and adults (ages 20 and younger) who have disabilities.

STAR Kids

A Medicaid health care program that covers children and adults (ages 20 and younger) who have disabilities.

CHIP Perinatal

CHIP/CHIP Perinate

CHIP is a health care program for children (ages 18 and younger) whose families earn too much to get Medicaid but cannot afford private health insurance. CHIP Perinate covers unborn children and pregnant women who do not qualify for Medicaid and do not have any other health coverage.

Medicare Advantage

A comprehensive Medicare plan that offers seniors (ages 65 and up) hospital coverage (Part A), medical coverage (Part B), prescription drug coverage (Part D), and extra coverage for things like vision, hearing, and dental.

Medicare Advantage D-SNP

A type of Medicare Advantage Dual Special Needs Plan (D-SNP) plan designed to provide extra help and support for people with low incomes or certain conditions and diseases.

University Family Care Plan

A health care plan for University Health employees.

HMO

Health care benefits provided through an employer including preventive care, emergency room visits, hospital stays, prescription drugs, and more.

University Community Care Plan

A high quality health care plan for individuals and families.

Provider Portal

 

As a Community First Health Plans Provider, you have access to an interactive, secure portal containing important information, tools, and resources. You can navigate the portal online or through our mobile app. Use the Provider Portal to:

  • Verify Member eligibility
  • Review Care Plans and Individualized Service Plans
  • Submit prior-authorization requests
  • Access forms and procedure documents specific to each health plan

Already have an account? SIGN IN HERE

We have launched a new secure portal for both Members and Providers! You will need to create a new account to access it. Register now!

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