The Community First Commercial HMO program at Community First is a managed care plan for commercial HMO employer groups.
Community First’s Commercial Small Group HMO is a managed care plan for commercial HMO employer groups. Our objective is to ensure that members access primary care services appropriately and receive services in the most cost-effective setting.
Our network comprises of physicians, allied and ancillary health care providers, hospitals and other facilities selected to provide quality health care to our members.
The Primary Care Provider (PCP) is responsible for managing the overall medical care of patients and coordinating referrals to specialists and inpatient/outpatient facilities.
The PCP is a Community First network provider with one of the following specialties: General Practice, Family Practice, Pediatrics or 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.
Access our library of benefits and resources available to our members from our Knowledge Base.