Provider News
Application Notice for Physicians and Providers to Contract with Community First
Community First Insurance Plans is accepting applications from physicians and providers who wish to participate in its EPO network. Applicants must meet the practice standards, qualifications, and other participatory criteria established by Community First Insurance...
Marketplace Enrollment and Inpatient Payment Responsibility
Effective January 1, 2026, and applicable to all Community First Marketplace plans (University Community Care Plan), a patient’s health plan of record at the date of an inpatient admission is responsible for payment of all covered inpatient facility and professional...
Community First Health Plans to Partner With Cotiviti for Payment Integrity Implementation
Updated January 20, 2026: Community First's partnership with Cotiviti will now launch on August 3, 2026. Please read the notice below for full details. Over the past several years, Community First Health Plans has been implementing payment policies that reflect...
Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended
Community First Health Plans is sharing important updates regarding extensions to revalidation due dates and enrollment period gap closures. These changes, offered by the Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare...
Translation/Interpreter Services for Members
Community First provides free, 24-hour access to interpreter services at no cost for Community First Members with limited English proficiency (LEP) or who use sign language. Interpreters are available in more than 200 languages by request. Please use our...
Notice for System Downtime
Please be advised that our core system will be unavailable for the following dates: Start: Thursday, November 13, 2025 at 5pmEnd: Sunday, November 16, 2025 at 10pm Why This Update Matters This scheduled downtime is part of our Service Excellence initiative...