Summit Community Care is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.
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.
2020 initial credentialing requirements
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.
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.
We offer a proactive case management program for expectant mothers and their newborns. The My Advocate™ program provides pregnant women proactive outreach and education through Interactive Voice Response (IVR), text or smartphone application.
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.