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

Update: Texas Medicaid and Healthcare Partnership (TMHP) will accept dental claims submitted on the 2012 ADA dental claim form until Dec. 31, 2019.

Friday, October 11, 2019

 
After that date, the form will be decommissioned and the TMHP will only accept the 2018 and 2019 versions of the form. Previous Announcement: The American Dental Association (ADA) has approved the new 2019 ADA Dental Claim Form as the replacement for the 2012 and 2018 ADA Dental Claim Form. As a reminder, providers can submit dental claims electronically through TexMedConnect. Click here for details.

Announcement: Medication Assisted Treatment (MAT) benefits to change for Texas Medicaid Nov. 1, 2019.

As part of the implementation of SB1564 (86R) Texas Medicaid is adding reimbursement for appropiately trained, advanced practice registered nurses who deliver Medication Assisted Treatment (MAT) in the office setting. Additionally, the public will be given the opportunity to provide comment regarding H2010 being directly replaced with H0033 for non-methadone MAT administration. Click here for details.

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.

Send to a Friend

* Required field

Captcha The math problem above is intended to reduce spam.