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
Amarillo 806.467.3200
Lubbock, Waco and
all other areas

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—Upcoming Provider Revalidation Webinar

Monday, March 12, 2018

On Thursday, March 22, 2018, TMHP will conduct a live webinar designed to offer a high-level introduction to the revalidation process using Provider Enrollment on the Portal.
The Provider Revalidation webinar will introduce the new streamlined electronic Revalidation application, instructional site hyperlinks, and the message dashboard, as well as provide a high-level description of the revalidation process in PEP.
Topics covered in the webinar include:
  • Identifying the differences between revalidation and re-enrollment
  • Understanding the Affordable Care Act screening requirements, risk levels, deadlines and application fees
  • Locating notifications on the My Account message dashboard
  • Navigating through the revalidation process in PEP
  • Using the View Existing Transactions page
  • Understanding the difference between revalidation in PEP and the six-month verification process in the Provider Information Management System
Click the following link to register for the webinar:  
For more information, call the TMHP Contact Center at 1-800-925-9126.

Notice to Physicians and Providers (per TAC § 11.1402)

Tuesday, January 30, 2018

SHA, L.L.C. dba FirstCare, 12940 N. Hwy 183, Austin, TX 78750, a basic health service, individual practice model health maintenance organization, will accept written applications during the period of February 1, 2018, through February 20, 2018, from physicians and providers who wish to participate in the FirstCare network. FirstCare offers services for the following products:  STAR Medicaid and CHIP, Commercial and Federal Marketplace. Marketplace applicants must FirstCare’s practice standards and qualifications for acceptance. Applicants will be notified in writing of acceptance or non-acceptance within 90 days after FirstCare receives an application for participation. Applications should be sent to the attention of the Provider Relations Department.

View all provider news >

We're here to help.

Our Provider Relations Team is here for you. If you have questions, please email, 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


Accessing the FirstCare Provider Self-Service Portal
Authorization Requirements
FirstCare Authorization Requirement Changes Effective 11/1/2017 
Referrals & Case Management
Making Referrals & Working with FirstCare Case Management Updated 1/11/2017

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.