Partner with Us

Providers

Thank you for choosing to partner with Community First Health Plans.

We look forward to continued collaboration with our provider partners to deliver quality care, improve outcomes, and increase satisfaction for members.

Welcome, Providers!

Here you will find helpful materials and resources meant specifically for providers and office staff. 

Provider Services Hotline:
(210) 358-6294 and (210) 358-6030 

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

CHIP / CHIP Perinatal

The Children’s Health Insurance Program (CHIP) and CHIP-Perinatal Program provides low cost services to children, pregnant woman and unborn children of non-Medicaid eligible women.

STAR Kids

The program is the first Medicaid managed care program specifically for people who are 20 and younger, have a disability, and use Medicaid.

STAR Medicaid

STAR Medicaid is a managed care program for families without health insurance. Families with children on Medicaid pay nothing for healthcare services.

Provider FAQ

Do you have a question? Take a look at some of our most frequently asked questions.

Provider Portal

Community First’s Provider Portal is an interactive secure website offered by our health plan for contracted providers.

Members Rights and Responsibilities

Information on Members Rights and Responsibilities including referrals and prior-authorization. 

Provider Resources

Community First Health Plans is glad to partner with our providers to help deliver quality healthcare to our members. Please click here to utilize these resources we have available for you.

HHSC Updates

Stay updated with all HHSC news!

Our Network

Community First Health Plans service areas

Nurse Advise Hotline

Nurse Advice Line (210) 227-2347 or toll free at 1-800-434-2347

CFHP does not require a referral for a Member to see a specialist. Some specialist’s offices may require or prefer to have a “Referral.” Members should ask their PCP to confirm with the specialist if a referral is needed from the PCP for you to be seen.

If the specialist is not-network, CFHP will work to complete a  Letter of Agreement (LOA)/ Single Case Agreement with the non-network specialist. These LOA/Single Case Agreements can be for one or several visits and lengths of time depending on the medical necessity as determined by CFHP.

Any downtime for routine scheduled maintenance for Provider-facing systems are posted to CFHP’s website and shared with CFHP staff. Id a toll-free number is provided that is also shared.

For outages and/or unplanned downtime, information will be posted to CFHP’s website and appropriate toll-free numbers will be posted and shared with CFHP staff.

If you are a provider and need to reach CFHP after hours or on weekends, please call (210) 227-2347.

Not a Community First Health Plans Provider?

We are continuously looking for partners to better serve our members and provide access to care services. If you are interested in joining our Community First Health Plans network, please complete the following Letter of Interest.

Already a CFHP Provider? Sign in to your provider portal here.