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—Requirement for Neonatal Level of Care Designation for Hospital Providers Rendering Neonatal Inpatient Services (UPDATE)

Tuesday, September 4, 2018

 
This is an update to an article published on July 11, 2018—“Medicaid—Neonatal Level of Care Designation”.

TThe required start date for the neonatal level of care designation requirement for hospital providers that render neonatal inpatient services is now October 1, 2018. The affected neonatal services are applicable for the Texas Medicaid Program clients. 
 

Medicaid—Delayed Implementation for Required NPI of Rendering Provider on Professional and Institutional Claims Submissions

Thursday, August 23, 2018

 
This is an update to an article published on July 12, 2018—“Medicaid—Eff. 09/01/18, Professional & Institutional Managed Care Claims Must Include Rendering Provider NPI”.

Texas Health and Human Services Commission has delayed implementation of the rendering provider requirement. HHSC will provide additional information in the future regarding the deployment delay. 
 

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

Resources

Accessing the FirstCare Provider Self-Service Portal
Authorization Requirements
FirstCare Authorization Requirements MatrixEffective 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.

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