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—Delayed Implementation for Required Taxonomy Code of Rendering Provider on Professional Claims Submitted to MCOs

Thursday, November 15, 2018

 
This is an update to an article titled, “Texas Medicaid: Professional Claims Submitted to MCOs Must Include Rendering Provider Taxonomy Code, Effective September 1, 2018,” which was published on this website on July 16, 2018.

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

What is GoNoodle and Why You Should Recommend it to Your Patients

Wednesday, November 14, 2018

 
As announced back in July 2018, FirstCare teamed up with GoNoodle to bring GoNoodle Plus, its infectiously energetic programming, to over 26,000 students and 1,400 teachers in 63 Amarillo elementary schools, through May 2021. NOTE:  Even if your patients aren’t in the Amarillo area, they can still use the free version of GoNoodle!
  • GoNoodle’s free website provides hundreds of songs, videos and mindfulness activities—all designed to help kids wake up their bodies, engage their minds and be their best.
  • The platform can also help improve BMI by helping families increase exercise in an effort to be more active and healthy by having fun together.
  • Signing up is free and easy! Your patients can sign up and use GoNoodle right at home.
To find out more, see the attached PDF or visit GoNoodle.com today. 
 

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) awarded FirstCare a Commendable Status (Medicaid HMO, 09/2018) & an Accredited Status (Commercial and Marketplace HMO, recertified 02/2018)—reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.


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