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

Oncology Benefits Management Program

Friday, August 30, 2019

 
Effective October 1, 2019, Oncology Analytics (OA) will be administering FirstCare Health Plans' pre-authorization program for Commercial, Marketplace, and Medicare benefit plans.   Click here for details.

STAR/CHIP—Updated Limitation for Zika Virus Testing Effective July 1, 2019

Tuesday, June 4, 2019

 
Effective for dates of service on or after July 1, 2019, the limitation for Zika virus testing procedure code 87662 will change.   Click here for details.

View all provider news >



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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