COVID-19 Update: We’re here for you.
As we continue to monitor the spread of COVID-19, we are committed to keeping you informed. Customer advocates are available by phone, as always. Click here for more information and benefit updates.
Provider/Physician Notice:
View the COVID-19 Telehealth and Telemedicine Policy for coding guidelines and claims submission procedures. We have also reduced our Prior Authorization Requirements.

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

Medicare-Enrolled Speech-Language Pathologists May Apply to Enroll as Texas Medicaid Providers

Currently, speech-language pathologists (SLPs) may only enroll to provide services to clients in the Texas Health Steps-Comprehensive Care Program (CCP), which includes clients age 20 and
younger. A new provider identifier has been created that will allow SLPs to provide services to clients of all ages, including those who are Medicare-Medicaid dual eligible. Beginning May 1, 2020, SLPs that are Medicare-Enrolled may apply to enroll in Texas Medicaid through TMHP and be assigned the new provider identifier. Click here for more details.

HHS Seeking to Increase LARC Utilization

In its ongoing efforts to promote women’s health, Texas Health and Human Services (HHS) is raising awareness of long-acting reversible contraception (LARC). The American College of Obstetricians and Gynecologists (ACOG) identifies LARCs, including intrauterine devices and subdermal contraceptive devices, as the most effective reversible contraceptive method. Requiring no action on the part of the person after the device is in place, LARCs have high rates of user satisfaction and method continuation. HHS has made improving access to LARCs a priority. 

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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