Community First Health Plans' STAR (State of Texas Access Reform) is a managed care option of the STAR Program for Medicaid clients. The objectives of the STAR Program are to improve the access to care for Members to increase the quality and continuity of care for Members, to decrease the inappropriate usage of the health care delivery system such as Emergency room visits for non-emergencies, to achieve cost-effectiveness and efficiency for the State and to promote provider and member satisfaction. Community First Health Plans is able to ensure these objectives are accomplished because of its diverse, fully credentialed network of physicians, allied health care providers, ancillary providers and hospitals.
Community First Health Plans' network is comprised of physicians (primary care physicians and specialists), allied and ancillary health care providers, hospitals and other facilities selected to provide quality health care to our STAR Members. The Primary Care Physician (PCP) is responsible for managing the overall medical care of patients, and for coordinating referrals to specialists and inpatient/outpatient facilities. A PCP is a Community First Health Plans STAR network provider with one of the following specialties: General Practice, Family Practice, Internal Medicine, Obstetrics and Gynecology (pregnant women only), Pediatrics, Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs). In addition, Community First Health Plans STAR members can access contracted Advance Practice Nurses, Physician Assistants, and Certified Nurse Midwives practicing under the supervision of a physician for appropriate covered services.
Service Area
Community First's STAR service area includes the following counties: Atascosa, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson.
