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