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.

Receive email from Summit Community Care.


Summit Community Care is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

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.

Register today: Exploring the Intersection of Race and Disability

Summit Community Care is committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.

New Specialty Pharmacy Medical Step Therapy Requirement

Effective for dates of service on and after June 15, 2022, these specialty pharmacy codes from current or new Clinical Criteria documents will be included in our existing specialty pharmacy medical step therapy review process.

Educational notice for providers billing blood glucose test or reagent strips

Summit Community Care continually reviews claims data to improve accurate claims processing. Please note, the following information regarding correct billing procedures for blood glucose test or reagent strips.

Join us in talking about racism and its impact on health

At Summit Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve.

State Mandated Policy Change regarding Long Term Care Taxonomy codes

Effective January 1, 2022, Summit Community Care will make changes to align with Arkansas Medicaid Policy. This policy change requires Skilled Nursing and Intermediate Care, Facilities to utilize taxonomy codes. Providers who do not adopt this practice will receive claim rejections.

 

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.