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Provider Portal


Community First's Provider Portal is an interactive secure website offered by our health plan for contracted providers. Features include:

  • Member Eligibility/Verification 
  • PCP Panel Roster 
  • Claim Status Explanation of Payment (EOP) 
  • Physician Directory 
  • View Related Documents 
  • Review Care Plans and Individualized Services Plans
  • Contact the Health Plan (Internal E-Mail thru Website)
  • Submit new prior-authorization requests and attach required documentation
  • Check the status of prior-authorization requests
  • Communicate with the nurse reviewer on submitted prior-authorizations
  • User name and Password will be the same login information used to access the provider portal  

If you are interested in signing up for our Provider Web Portal, please contact your provider relations representative: 

Login/Register here for access to the Provider Portal

Providers

Providers News

Enrollment Deadline Extended to July 1, 2018 for Medicaid MCO LTSS Providers

Enrollment deadline extended for Medicaid Managed Care Organization Long Term Services and Supports Providers. »


Clarification on Long Term Services and Supports Provider Re-enrollment

Long Term Services and Supports (LTSS) providers must re-enroll in Texas Medicaid by the federal deadline of September 24, 2016. »


Providers Using EVV Vendor MEDsys Transition to DataLogic Starts July 31

HHSC is working in collaboration with MCOs, MEDsys and DataLogic to transition all providers in phases before the MEDsys contract expires on Nov. 6, 2018. »