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.

Notice of Material Amendment to Healthcare Contract

Healthy Rewards Program

Healthy Rewards program helps you increase your quality scores, and our members earn rewards.

Corrected and Voided Claims Webinar

Provider Relations assignment

Specialty Pharmacy Prior Authorization Updates

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.

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.

Credentialing program requirements

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.

 

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.