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Healthy Expectations Asthma Matters Healthy Mind Diabetes in Control Healthy Living Healthy Heart Scholarships Your Health COVID-19 Fight The Flu Annual Wellness Checks Prior Authorizations Member Resources Medicaid FAQs Community Resources Food Pantry Find Help Providers Become A Provider CHIP Program STAR Kids STAR Medicaid STAR+PLUS Provider Educational Sessions Letter of Interest Prior Authorizations Electronic Visit Verification Provider Manuals Provider Resources Provider FAQs Get Insured How To Apply How To Renew NewsEvents Community First Blog Member News Provider News Events Contact Community Office Members Health Plans STAR Medicaid STAR Kids STAR+PLUS CHIP CHIP Perinate BenefitsServices Transportation Services In-Home Urgent Care Women’s Health Find a Provider HealthWellness Programs Healthier You! Healthy Expectations Asthma Matters Healthy Mind Diabetes in Control Healthy Living Healthy Heart Scholarships Your Health COVID-19 Fight The Flu Annual Wellness Checks Prior Authorizations Member Resources Medicaid FAQs Community Resources Food Pantry Find Help Providers Become A Provider CHIP Program STAR Kids STAR Medicaid STAR+PLUS Provider Educational Sessions Letter of Interest Prior Authorizations Electronic Visit Verification Provider Manuals Provider Resources Provider FAQs Get Insured How To Apply How To Renew NewsEvents Community First Blog Member News Provider News Events Contact Community Office STAR Medicaid STAR Kids STAR+PLUS CHIP CHIP Perinatal Become A Member Learn about our different health plans for your family and see if you qualify. Learn How To Apply Become A Provider Learn how you can join our network of partners improving the health of our community. Apply Now Community First Member Hotlines Member Services STAR Kids: 1-855-607-7827 | 210-358-6403 All other health plans: 1-800-434-2347 | 210-227-2347 Monday through Friday, 8 a.m. to 5 p.m. TTY: 711 24 hours a day/7 days a week A Member Services Representative can answer your questions about all covered services under your health care plan. Member Services can also help you select or change your primary care provider (PCP), access services that do not require a referral from your PCP, send you a new Member ID card, and help resolve any problems or complaints. For e mergency services , dial 911 or go to the nearest emergency room. Behavioral HealthSubstance Misuse STAR Kids: 1-844-541-2347 All other health plans: 1-877-221-2226 24 hours a day/7 days a week Call toll-free to talk to someone if you need help right away. You do not need a referral for mental health or substance misuse services. For e mergency services , dial 911 or go to the nearest emergency room. To access the 24/7 Suicide and Crisis Line , dial 988. Nurse Advice Line Toll-free: 1-800-434-2347 Local: 210-227-2347 TTY: 711 24 hours a day/7 days a week Community First Health Plans has a Nurse Advice Line available to help you get the care you need, when you need it – even after hours. A Registered Nurse can provide medical advice and help you get the care you need. For e mergency services , dial 911 or go to the nearest emergency room. Translation Services Community First provides free language services to people whose primary language is not English. These services include: Qualified interpreters Information written in other languages Referrals and Prior Authorization If you need to seek a specialty consultation or obtain a referral for specialty care and need assistance, please contact Community First Health Plans. Community First does not require a referral to see an in plan specialist. Some specialist offices require or prefer to have a referral” from your PCP before they see you. You should ask your PCP to confirm with the specialist if a referral is needed for you to be seen. If the specialist is not a network provider, authorization for services from Community First is required to see that specialist. Community First’s Population Health Management Department will assist you, your PCP, and the specialist with the service authorization process. Community First will also try to recruit the provider to our network of physicians. Printed Materials Member Handbooks, Provider Directories, and Member Newsletters are all available in print, free of charge, and mailed to you within five business days. Member materials are also available in alternate formats such as large print, braille, or audio. To request your copy, simply call 1-800-434-2347 or make a request through the secure Member Portal. STAR Medicaid 210-358-6060 or toll-free 1-800-434-2347 Monday through Friday, 8 a.m. to 5 p.m. STAR Program Help Line Call for information or to ask questions about the STAR program, benefits, or to choose a health plan. 1-800-964-2777 711 (TTY) Monday through Friday, 8 a.m. to 6 p.m. STAR Kids 210-358-6403 or toll-free 1-855-607-7827 Monday through Friday, 8 a.m. to 5 p.m. STAR Kids Behavioral Health Hotline 1-844-541-2347 or 210-358-6403 24 hours a day/7 days a week STAR Kids Program Help Line Call to get information or ask questions about the STAR Kids program, benefits, or to choose a health plan. 1-877-782-6440 711 (TTY) Monday through Friday, 8 a.m. to 6 p.m. STAR+PLUS Community First Member Services: 210-358-6105 or toll-free 1-844-382-2347 Monday through Friday, 8 a.m. to 5 p.m. STAR+PLUS Program Help Line (Enrollment Broker): You can join Community First STAR+PLUS by calling: 1-877-782-6440 TTY: 7-1-1 Monday through Friday, 8 a.m. to 6 p.m. CHIPCHIP Perinatal 210-358-6300 or toll-free 1-800-434-2347 Monday through Friday, 8 a.m. to 5 p.m. CHIP Program Help Line Call for information or to ask questions about the CHIP program, benefits, or to choose a health plan. 1-800-964-2777 711 (TTY) Monday through Friday, 8 a.m. to 6 p.m. TTY (210) 358-6080 or toll-free 1-800-390-1175 24 hours a day/7 days a week Medicaid Managed Care Program Help Line Hearing Impaired (STAR/CHIP): 1-800-735-2889 Hearing Impaired (STAR Kids): 1-800-267-5008 STATE Fair HearingExternal Medical Review If you disagree with our internal appeals decision to cover a health care service, you can ask for a State Fair Hearing. If you ask for a State Fair Hearing, you can also ask for an External Medical Review where independent health care experts review your request to receive services. You must make a request for a State Fair Hearing with or without an External Medical Review by 120 days from the date the notice informing you of our internal appeals decision has been mailed. Learn More About State Fair HearingsExternal Medical Reviews Contact Info STAR: 1-800-434-2347 STAR Kids: 1-855-607-7827 Toll Free: 1-800-434-2347 Mailing Address: Community First Health Plans 12238 Silicon Drive, Suite 100 San Antonio, TX 78249 Vision Services Vision services are provided by Envolve Benefit Options through Envolve Vision. Envolve Vision works to reduce member costs while still delivering the highest quality vision benefits available. Learn More About Vision Services Contact Info Toll Free: 1-800-334-3937 Envolve Benefit Options 5130 Sunforest Drive, Tampa, FL 33634 DENTAL SERVICES Routine dental is provided through DentaQuest, MCNA Dental, or United Healthcare Dental. You may pick the Dental Maintenance Organization (DMO) of your choice. Call your child’s Medicaid dental plan to learn more about the dental services they offer. Learn More About Dental Services Contact Info DentaQuest: 1-800-516-0165 MCNA Dental: 1-800-494-6262 United Healthcare Dental: 1-877-901-7321 Pharmacy Benefits Prescription drugs are a covered benefit of the Medicaid and CHIP Programs. Community First administers this benefit with the Texas Medicaid/CHIP...