Community First Health Plans

Health Insurance Coverage in Texas

Health Plan Overview

Insurance Company	Community First Health Plans
State	Texas
Website	communityfirsthealthplans.com
Number of Hospitals in Network	10
Number of Plans Offered	6

Network Hospital Locations

Hospitals in Network (10)

Baptist Medical CenterMission Trail Baptist HospitalGuadalupe Regional Medical CenterConnally Memorial Medical CenterStephens Memorial HospitalArise Austin Medical CenterOtto Kaiser Memorial HospitalPalms Behavioral HealthBaptist Neighborhood Hospital- Thousand OaksResolute Baptist Hospital

Available Plans

EPO

1 plan

HMO

2 plans

MEDICAID

1 plan

MEDICARE ADVANTAGE

2 plans

Plan Details

Plan Name	Plan Type
Commercial HMO	HMO
Medicare Advantage Alamo (HMO)	MEDICARE ADVANTAGE
Medicare D-SNP	MEDICARE ADVANTAGE
University Family Care Plan (UFCP)	HMO
University Community Care Plan (UCCP)	EPO
Medicaid (STAR Medicaid, STAR Kids, STAR+PLUS, CHIP, CHIP Perinate)	MEDICAID

Recent News

Undated (announced in provider news)

Community First Health Plans is informing Providers that effective September 1, 2025, House Bill 1, Article II, Rider 32 (88th Legislature, Regular Session, 2023) will be implemented. Rider 32 mandates Texas Health and Human Services (HHSC) to transition to a new process.

Undated (announced in provider news)

Community First Health Plans is sharing updates from the Texas Health and Human Services Commission (HHSC) regarding the rollout of the Provider Enrollment and Management System Plus (PEMS+) to help Providers prepare for upcoming changes.

November 13, 2024

Community First Health Plans has earned a 4-star rating from the National Committee for Quality Assurance (NCQA). The locally owned non-profit health plan was recognized for excellence in patient outcomes and experience.

May 8, 2025

The Texas Health and Human Services Commission (HHSC) has postponed the planned update to the Provider Enrollment and Management System (PEMS) that would enable provider credentialing. This functionality is expected to be added later in 2025.

May 30, 2025

Beginning May 30, 2025, the Provider Enrollment and Management System (PEMS) was enhanced to streamline the process for Texas Medicaid enrollment and credentialing with Community First Health Plans. An update on May 8, 2025, noted a postponement for the provider credentialing functionality within PEMS.

State Leadership

Community First

Executive

NA