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.
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.
Prior authorization updates for medications billed under the medical benefit - Effective May 1, 2022
Effective for dates of service on and after May 1, 2022, the following medication codes billed on medical claims from current or new Clinical Criteria documents will require prior authorization.
Availity access
At Availity you can:
If you don't have an Availity account, you can register for free now!
Featured resources
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.