Providers

Effective January 1, 2019, Scott and White Health Plan, part of Baylor Scott & White Health, acquired FirstCare Health Plans. The acquisition allows two provider-owned health plans to come together to create a more comprehensive and sustainable insurer with a driving focus on enhancing the customer experience through advanced technology.

For more information, visit FirstCare.com/SWHP.  
 

Interested in Becoming a New Provider?

We’re always looking for exceptional providers to join our growing network of physicians and hospitals. Together, we can help you give your patients—and our members—the quality, cost-efficient care they deserve. Click here to learn more.
 

Contact Your FirstCare Provider Relations Team

Our Provider Relations Team is here for you. If you have questions or need support, please click here to find contact information.


Corporate Medical Advisory Committee (CMAC)

The Corporate Medical Advisory Committee (CMAC) develops, reviews and approves clinical programs and guidelines, studies, and other clinical activities related to the health care services provided to FirstCare members.

 



Provider News

TMHP OTP Provider Notification

Effective Dec. 14, 2019, Substance Abuse and Mental Health Services Administration certified (SAMHSA-certified) Opioid Treatment Programs (OTPs) who are licensed as Narcotic Treatment Programs may submit provider enrollment applications for Texas Medicaid through TMHP. Read the notice here.

Semi-Annual Medicaid Preferred Drug List Update Coming in January

Texas Medicaid will publish the semi-annual update of the Medicaid preferred drug list on Jan. 27, with changes effective Jan. 30.

The update is based on changes presented and recommended at recent Texas Drug Utilization Review Board meetings.

Visit the Vendor Drug Program website for a list of noteworthy changes in this update.

View all provider news >



The National Committee for Quality Assurance (NCQA) awarded FirstCare Health Plans an Accredited Status (Commercial, Medicaid and Marketplace HMO, recertified 02/2018)—reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.

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