Summit Community Care Provider Home


Provider resources

We are committed to supporting you in providing quality care to the members in our network. Here you will find frequently used forms (both online and PDF), provider manuals and directories, prior authorization information, practice policies, and support for delivering benefits to our members.

Provider forms

Here you will find the forms most frequently used by health care providers.

Provider education

We offer training and tutorials to support providers in continuing their education. We will add presentations, videos and other training documentation as it becomes available.

Provider manuals and guidelines

Our provider manuals and guidelines provide key administrative information, including the quality improvement program, utilization management program, quality standards for participation, claims appeals, and reimbursement and administration policies.

Prior authorization

This is how we determine if an inpatient or outpatient medical service, including surgery, major diagnostic procedures and referrals, is medically necessary.

X-Rays, stethoscope and laptop

Behavioral health

Caring therapist counseling patient

Our behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.

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.