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.
At this time, enrollment for electronic funds transfer (EFT) through CAQH EnrollHub is unavailable. When this feature is available, we will provide an update.
CES waiver and ADDT/EIDT rates
For the past several months, Summit Community Care worked closely with key leaders and stakeholders to develop a new payment structure for the Community and Employment Services (CES) Waiver Program since there is no established fee schedule under Medicaid. Accompanying this update, you will find a full waiver grid that defines all services, unit definitions and rates.
Provider Relations Assignments
Prior authorization requirements changes effective November 1, 2019
Effective November 1, 2019, prior authorization (PA) requirements will change. These services will require PA by Summit Community Care for Medicaid members