Community First Health Plans

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

fax prior auth

Prior authorization fax — general (all products, Bexar service area)

Official page read
Phone

No phone listed for this route

Fax

210-358-6040

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

General outpatient authorization fax from the 2026 Provider Quick Reference Guide (covers STAR, STAR Kids, STAR+PLUS, CHIP, Medicare Advantage/D-SNP, Marketplace and commercial). Provider portal also accepts auth requests.

fax prior auth

Prior authorization fax — medical inpatient only

Official page read
Phone

No phone listed for this route

Fax

210-358-6388

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Inpatient medical authorization/notification fax.

fax prior auth

Prior authorization fax — behavioral health only

Official page read
Phone

No phone listed for this route

Fax

210-358-6387

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Behavioral health authorization fax.

fax prior auth

Prior authorization fax — LTSS (PCS/PAS, DAHS, meals, ERS, adaptive aids, minor home modifications)

Official page read
Phone

No phone listed for this route

Fax

210-358-6274

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Long-term services and supports authorization fax (STAR Kids/STAR+PLUS).

fax prior auth

Pharmacy prior authorization fax — Navitus

Official page read
Phone

No phone listed for this route

Fax

855-668-8553

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Navitus pharmacy-benefit PA fax for Community First members.

fax prior auth

Clinician-administered drug (CAD) authorization fax

Official page read
Phone

No phone listed for this route

Fax

210-358-6385

Published hours

Not published in this record

Product, plan and location

medicaid · chip · medicare advantage · dsnp · exchange · commercial
Texas

Mailing address

Not researched for this route

Medical-benefit clinician-administered drugs.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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