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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

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Recoupment Guidance for Managed Care Organizations (MCOs) Required to Use EVV

HHSC issues this guidance to remind MCOs of the agreed upon process to be used when determining appropriate Electronic Visit Verification (EVV) recoupments. »


MCO LTSS Provider Enrollment Process Extended to Sept. 1, 2018

HHSC is providing guidance on how MCOs can verify a provider’s enrollment. »