Summit Community Care Provider Home

Providers

Welcome, providers!

On this site, you will find resources that help health care professionals do what they do best — care for our members.

Are you interested in joining our network? We look forward to working with you to provide quality services to our members.

COVID-19 information


Summit Community Care is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Provider news


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.

Important notice for providers billing H0019, H2016, and H2017

Summit Community Care identified an issue impacting claims payments with billing codes H0019 (therapeutic communities), H2016 (community support services), and H2017 (psychological rehabilitation services and life skills).

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.

In Pursuit of Racial Equity: Deconstructing Bias

Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.

Specialty Pharmacy Prior Authorization Retraction Notice

Notification that effective May 1, 2021 specific codes would be included in our prior authorization review process.

Infusion Step Therapy Retraction Notice

Notification that effective May 1, 2021 specific codes would be included in our step therapy review process.

Availity access


At Availity you can:

Request Authorizations
Submit Claims
Confirm Eligibility

If you don't have an Availity account, you can register for free now!

Availity is your one-stop to complete your transactions

Featured resources


Pharmacist looking at prescription bottle

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Expectant mother sharing ultrasound

Maternal Child Program

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.

Caring therapist counseling patient

Behavioral health providers

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.

Provider tools & resources

Interested in becoming a provider in the Summit Community Care Network?

We look forward to working with you to provide quality service for our members.