On this site, you will find resources that help health care professionals do what they do best — care for our members.
Participating providers who did not receive credentialing approval on or after April 1, 2020, may be out-of-network as of January 1, 2021. Refer to Credentialing Requirements.
Here you will find the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Healthy Rewards program helps you increase your quality scores, and our members earn rewards.
Effective on and after February 1, 2021, specialty pharmacy codes from current or new clinical criteria documents will be included in our precertification review process.
Regardless of a provider’s existing participation agreement, Summit Community Care did not credential providers prior to April 1, 2020.Therefore, providers who have not submitted required credentialing materials and received an initial credentialing approval letter on or after April 1, 2020, may be out-of-network effective January 1, 2021.
Per the terms of its agreement with the Arkansas Department of Human Services (DHS), Summit Community Care must submit for approval and follow a documented process for credentialing and recredentialing of providers who have signed agreements to participate in its PASSE provider network. For continued participation in the Summit Community Care network, providers must complete the Summit Community Care credentialing process by January 1, 2021.
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Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with behavioral health and substance use needs, as well as those with intellectual and developmental disabilities.