CommUnityCare has a team of Financial Screening Specialists available to help individuals and families gain access to quality affordable healthcare by providing enrollment services and application assistance.
- CommUnityCare Sliding Fee Scale
- Central Health Programs:
- Medical Access Program (MAP)
- MAP Basic
- Ryan White
- Family Planning Services
- Primary Health Care
- Title V Maternity & Child
- Pharmacy Benefits
- Texas Medicaid
- CHIP & CHIP Perinate
- Healthy Texas Women
- ACA Marketplace, Health Insurance Exchange
- AIDS Drug Assistance Program (ADAP)
*A Financial Screening Specialist is available to answer questions and to complete and submit an application.
Call for Appointment
Call 512-978-9015 to schedule an appointment at a location and time that is convenient for you.
What to bring to your Eligibility appointment for EACH household member:
- Photo ID
- Such as: TX Driver’s License, In/Out of State ID or Passport
- Birth Certificate
- Or other verification of birth facts
- Social Security Card
Bring for all household members who have one
- Address Verification
- This needs to be dated within the past 30 days for all household members, earned and unearned. Examples include: check stubs, Social Security award letter (dated within one year), child support report, benefit letter from TANF, unemployment benefits letter (dated within one year), support statement if receiving assistance with rent, utilities, etc.
- Income Verification
- Must include your name, spouse’s name, or child’s name on it dated within the past 30 days. This can include your current lease, utility bill, or mail.
Have questions or need assistance? Email us at firstname.lastname@example.org
Health Insurance Programs - Insurance We Accept
Medicaid is the state and federal cooperative venture that provides medical coverage to eligible persons. The purpose of Medicaid in Texas is to improve the health of people who might otherwise go without medical care for themselves and their children. Medicaid is different in every state. The Texas Health and Human Services Commission’s Medicaid Office is responsible for statewide oversight of the Texas Medicaid Program.
To learn more, click here.
- Medicaid Plans
- Blue Cross Blue Shield of Texas
- UnitedHealthcare Community Plan
CHIP Texas families with uninsured children may be able to get health insurance through Children’s Medicaid and the Children’s Health Insurance Program (CHIP). Both programs offer many benefits including regular checkups and dental care. CHIP perinatal coverage offers health services for unborn children of women who may qualify.
Medicare is a health insurance program for:
- People 65 or older.
- People under age 65 with certain disabilities.
- People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).
Medicare has two parts:
- Part A (Hospital Insurance)
- Most people don’t have to pay for Part A.
- Part B (Medical Insurance)
- Most people pay monthly for Part B.
Medicare Plans We Accept
- Blue Cross Blue Shield of Texas
- UnitedHealthcare (Dual Plan only)
- Blue Cross Blue Shield of Texas
- Care Improvement Plus
- Seton Health Plan
Sliding Fee Schedule
For those who are not eligible for other forms of coverage, CommUnityCare offers a sliding fee schedule payment system. This system is based on your family’s annual income and size.
Please call our eligibility number to schedule an appointment to determine your eligibility for this or other coverages by calling 512-978-8130.
Medical Access Program (MAP)
The Medical Access Program, or MAP, provides access to health care through networks of established providers for those Travis County residents who meet eligibility criteria. MAP is funded and administered by Central Health.
The CommUnityCare Referrals Department is responsible for assisting with referrals, diagnostics and authorizations. For referrals or diagnostics that require an authorization from your insurance, the referral department will request this on your behalf and contact you once a decision has been made. The referral department will also fax any clinical documentation related to your referral or diagnostic. Below lists the phone options you will hear when calling the Referrals Department. Please see some key definitions listed below.
- Referral – an order placed to medical specialist by a primary care provider or other provider
- Specialty referral – referral services offered within CommUnityCare
- Diagnostic – exams used to gather clinical information some examples include CT and MRI scans
- Authorization – documentation of permission to perform a test or referral from an insurance company
- Commercial insurance – insurance provided directly from an insurance company (example: Blue Cross Blue Shield, UnitedHealthcare, etc.) or government agency (example: Medicaid, Medicare)
Contacting the Referrals Department:
Call the Referrals Department Monday through Friday from 8 a.m. to 5 p.m. at 512-978-8280.
The following options will be available to select from when you call:
- Option 1
- Authorizations and Diagnostics
- Option 2
- Specialty Referrals (Internal, in-house CommUnityCare Specialties such as Cardiology, Dermatology, Endocrinology, Gastroenterology, Nephrology, Pulmonology, Podiatry, Rheumatology)
- Option 3
- Pediatrics and Women’s Health
If you are a patient with commercial insurance, please refer to the following documents for additional information and guidance on next steps after your referral has been placed:
Consent to Treat
Transferring Your Medical Records to CommUnityCare
If you are a new patient establishing care at CommUnityCare and will need your medical records transferred from an outside provider, download the form from the link below and deliver it to your CommUnityCare clinic.
Please include the name and address of your new provider on the form. Click here for a listing of our clinics.
It is important to establish a point of contact with that provider and provide this information to your personal clinician at CommUnityCare.
Request for Medical Records
Healthmark is our partner for providing copies of medical records. Copying fees are waived for CommUnityCare patients. Our patients can now request and download complete health records online through Healthmark Group, our partner for providing fast, secure, and accurate copies of medical records. CommUnitycare and Healthmark Group are pleased to waive all copying fees for CommUnityCare patients.
To Request Copies Of Your Medical Records Online, Follow These Steps:
- Click on www.HealthMark-Group.com and select “ Requestors” from the tabs on top of page.
- Login to the MedRelease tool (note: if it is your first time using this tool, you will need to create an account).
- Once logged in click “Submit Request” to complete the HIPAA- Compliant Electronic Authorization form.
- After the Electronic Authorization Form has been completed click “Authorize Release” at the bottom of the page.
Other Ways To Request Your Records
- Obtain an authorization to release medical information at any CommUnityCare location or download the Release of Medical Information form (en español). You can take the form to any of our health center locations.
- OR you can fax the form to 512-901-9797.
- OR you can mail the completed form to:
CommUnityCare Health Centers
PO Box 17366
Austin, Texas 78760-7366
- Call us at 512-978-8288 if you have any additional questions.
Patients Rights & Responsibilities
Our goal is to provide quality health care in our community. As a patient, you have rights and responsibilities. CommUnityCare also has rights and responsibilities. We want you to understand these rights and responsibilities so you can help us provide better health care to you. Please read the Consent to Treat Form, ask us questions you might have and sign at the bottom of the form.
You have a right to be treated with respect and dignity regardless of your age, race, color, religion, sex, national origin, marital status, gender, gender identity or expression, sexual orientation, political affiliation, disability, HIV status, or ability to pay for services.
Payment for Services
- You are responsible for giving us accurate information about your present financial status and any changes in your financial status. CommUnityCare needs this information to decide how much you pay, or how much private insurance, Medicaid or Medicare pays. This information may also be used to find other benefits for which you are eligible.
- You have a right to receive explanations of your bill. You must pay, or arrange to pay, all agreed fees for medical services or dental services. If you cannot pay right away, please let us know so CommUnityCare can provide care for you now and work out a payment plan.
- You are expected to provide complete and accurate information about your health insurance coverage and to pay your bills in a timely manner.
Your protected health information (PHI) is maintained in a written and/or electronic medical record of your contacts or visits for healthcare services. Your PHI includes information such as name, address, phone, etc. that identifies you. It also includes information that relates to your past, present or future physical or mental health condition and related healthcare services.
Your Rights Under The Privacy Rule
- When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities. Please feel free to discuss any questions with our staff.
- Obtain a copy of your medical record. You can ask to see or get a copy of your medical record. If your health record is stored electronically, you can request a copy in electronic format. We have the right to charge a reasonable fee for paper or electronic copies as established by professional, state, or federal guidelines.
- Request an amendment to your protected health information. You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. We may say “no” to your request, but we will tell you why in writing within 60 days.
- Request confidential communications. You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.
- Request a restriction (to limit the use) of your PHI.
- You can ask us, in writing, not to use or share certain health information for treatment, payment or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.