Contact Us

If you have any questions, call us. Community First Health Plans (CFHP) Member Services staff can take your call during our business hours. You can reach a nurse 24 hours a day, 7 days a week. They can answer your health questions after hours, weekends, and holidays. Our staff is bilingual in English and Spanish. If you speak another language or are hearing impaired and need an interpreter, call Member Services. We can help you.

For Emergency Services dial 9-1-1 or go to the nearest emergency room.

Community Office

Avenida Guadalupe
1410 Guadalupe Ste. #222
San Antonio, TX 78207

Corporate Office

12238 Silicon Drive, Suite 100
San Antonio, TX 78249
Nurse Advice Line

1-800-434-2347

Community First Health Plans has a Nurse Advice Line available 24 hours a day, 7 days a week, 365 days a year – to help you get the care you need. Nurses can help you with medical advice, such as what to do for a common cold or how to care for a loved one released from the hospital.

Behavioral Health & Substance Abuse Hotline:

1-877-221-2226

Call toll-free to talk to someone if you need help right away. You do not need a referral for mental health or substance abuse services.

24 hours a day, 7 days a week

Member Services Hotlines:

If you need to seek a specialty consultation or obtain a referral for specialty care and need assistance please contact Community First Health Plans, Inc. CFHP does not require a referral to see an in plan specialist. Some specialist offices require or prefer to have a “Referral” from the your PCP before they see you. You should ask your PCP to confirm with the specialist if a referral is needed from them for you to be seen. If the specialist is not an in plan provider, authorization for services from CFHP is required to see that specialist. The CFHP Population Health Management teams will assist you, the PCP and Specialist with the service authorization process. CFHP will also try to recruit the provider to our network of physicians.

Member Handbooks, Provider Directories, and CFHP Member Newsletters are all available in print, free of charge, and mailed within 5 business days. To request your copy simply call 1-800-434-2347 or make a request through your secure Member Portal.

CFHP provides free language services to people whose primary language is not English, such as:

  • Qualified interpreters
  • Information written in other languages

If you need these services, please contact CFHP Member Services at 1-800-434-2347.

Member Services Hotline:

(210) 227 – 2347 or 1-800-434-2347

Monday-Friday 8 a.m. – 5 p.m.

TTY (210) 358-6080 or toll-free 1-800-390-1175        24 hours a day/7 days a week       

STAR Medicaid:

(210) 358-6060 or toll-free 1-800-434-2347
Monday-Friday 8 a.m.-5 p.m.

CHIP/CHIP Perinatal:

(210) 358-6300 or toll-free 1-800-434-2347
Monday-Friday 8 a.m.-5 p.m.

CHIP Enrollment Broker:

1-800-964-2777
Monday-Friday, 8 a.m.-6 p.m

STAR Kids Members can speak to a Service Coordinator for help with benefits. We have dedicated Service Coordinators who can help you understand the STAR Kids program, covered services, and provider resources.

STAR Kids:

(210) 358-6403 or toll-free 1-855-607-7827 or Local: (210) 358-6403
Monday-Friday 8 a.m.-5 p.m.

STAR Kids Behavioral Health Hotline:

1-844-541-2347 or Local: 210-358-6403
Monday-Friday 8 a.m.-5 p.m.

 

TTY: 

(210) 358-6080 or toll-free 1-800-390-1175        24 hours a day/7 days a week       

Provider Hotlines:

Talk to a provider relations representative about the health plan and member benefits.

Provider Services Hotline Number: 

(210) 358-6294 and (210) 358-6030

Monday-Friday 8:30 a.m.-5 p.m.

For after hours assistance, please call 1-800-434-2347.

STAR Kids Provider Hotline:

(210) 358-6403 or toll-free 1-855-607-7827

Medicaid Managed Care Program Help Line

Health Plan enrollment

STAR Program: 1-800-964-2777
Monday-Friday, 8 a.m.-6 p.m.

STAR Kids Program: 1-877-782-6440
Monday-Friday, 8 a.m.-6 p.m.

TTY Line for hearing impaired (STAR): 1-800-735-2889

TTY Line for hearing impaired (STAR Kids): 1-800-267-5008

Fair Hearing

If you disagree with the health plan’s decision to cover something, you can ask your health plan for a fair hearing. You must ask for a fair hearing within 120 days of the date on the health plan’s letter with a decision.

STAR Program: 1-800-434-2347

STAR Kids Program: 1-855-607-7827

You have the right to keep getting any service the health plan denied or reduced until the final hearing decision is made if you ask for a fair hearing by the latter of:

  • 10 calendar days following Community First’s mailing of the notice of the action, or the day the health plan’s letter says your service will be reduced or end.

If you do not request a fair hearing by this date, the service the health plan denied will be stopped.