Providers

Why work with FirstCare?

Like you, we are deeply committed to doing the right thing for the health of our communities. FirstCare is Texas-based and provider-owned, so we know what it means to deliver quality care, right here. We want doctors to be in charge of patient care. We’ll do everything we can to help you achieve better patient outcomes.
 
Partnering with FirstCare can connect you with more than 4,600 contracted facilities, including 199 hospitals, and more than 16,400 primary care and specialty providers. Our strong local ties can generate favorable new business — from commercial to government-employed patients — all at competitive, profitable rates. FirstCare has tremendous expertise in compliance, administration, and processing for STAR and CHIP programs. And we do it all with high ease of use, high reliability and low administrative hassle.

Learn More About Becoming a Provider >

 

Contact Your FirstCare Provider Relations Team

Our Provider Relations Team is here for you. If you have questions, please contact your provider relations representative:

Region Phone Email
Abilene 325.670.3882
325.670.3884
 
prabilene@firstcare.com
Amarillo 806.467.3200
 
prsupport@firstcare.com
Lubbock, Waco and
all other areas
806.784.4380 prlubbock@firstcare.com
       

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

Medicaid/CHIP—YourTexasBenefitsCard Portal Integration Pilot

Tuesday, May 9, 2017

Texas Medicaid is conducting a provider pilot to integrate the YourTexasBenefitsCard.com (YTBC) provider portal with the FirstCare Health Plans provider portal. Other managed care organizations and dental maintenance organizations are participating in this pilot as well.

Providers will be able to access the YTBC portal to view Medicaid patients’ available health information with one single click from the FirstCare provider portal.

To get more information regarding this pilot, visit www.YourTexasBenefitsCard.com and click on the HHS Pilot Packet link.

Medicaid/CHIP—Current CHIP Providers Must Complete Enrollment with TMHP by 12/31/17 to Continue to Receive Reimbursement for CHIP Services

Friday, May 5, 2017

Federal law and regulation require states to screen and enroll all network providers including Children’s Health Insurance Program (CHIP) providers by December 31, 2017. To meet this requirement and continue receiving reimbursement for services, providers who currently render services to CHIP members through a managed care organization (MCO) must complete enrollment with the Texas Medicaid & Healthcare Partnership (TMHP) by December 31, 2017.
 
While the enrollment process and application are the same for Medicaid and CHIP providers, CHIP-only providers are not required to participate in Texas Medicaid. CHIP-only providers must follow the instructions below to indicate they intend to serve only CHIP members and to ensure that they do not appear on the Medicaid online provider lookup (OPL).
 
Note: CHIP providers actively enrolled with TMHP as a Medicaid provider do not need to repeat the enrollment process to continue to receive reimbursement for CHIP services.
 
Enrollment Information Specific to CHIP Providers
 
Beginning July 1, 2017, providers can indicate in the enrollment application that they intend to serve only CHIP members. Providers must document this appropriately to ensure they are not displayed as a Medicaid provider on OPL.
 
CHIP providers are encouraged to enroll using the Provider Enrollment on the Portal (PEP). Additionally, the Provider Information Management System (PIMS) will be updated with options for providers to designate that they intend to serve only CHIP members.
 
Providers should begin the enrollment process as soon as possible. The PIMS update will allow providers who start the enrollment process before these updates occur, to designate themselves as CHIP-only providers on the OPL after they are enrolled.
 
For more information, providers should visit the upcoming CHIP webpage that will be added to TMHP.com in the next few weeks.
 
For more information, call the TMHP Contact Center at 1-800-925-9126. 

View all provider news >

We're here to help.

Our Provider Relations Team is here for you. If you have questions, please email Provider_Relations@FirstCare.com, or contact your provider relations representative at the number below:
  • Abilene area—1.325.670.3882 or 1.325.670.3884
  • Amarillo area—1.806.467.3200
  • Lubbock, Waco & other areas—1.806.784.4380


The National Committee for Quality Assurance (NCQA) has awarded an accreditation status of Accredited for service and clinical quality that meet the basic requirements of NCQA's rigorous standards for consumer protection and quality improvement.

You are leaving FirstCare Advantage (HMO)'s Medicare web pages.

Click Continue to proceed or Cancel to stay.

Continue Cancel

Send to a Friend

* Required field

Captcha The math problem above is intended to reduce spam.