Provider.summitcommunitycare.com

Summit Community Care Providers

WebWe work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other …

Actived: 9 days ago

URL: https://provider.summitcommunitycare.com/arkansas-provider/

Provider Manuals and Guides

WebProvider manuals and guidelines. We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for …

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Provider Resources

WebOur behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care …

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Full list of Medical Policies and Clinical Guidelines

WebMedical Policy. Administrative. ADMIN.00006 Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization …

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Behavioral Health

WebSummit Community Care facilitates physical and behavioral health services as an integral part of health care. Our mission is to address the physical and behavioral health care of …

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Eligibility & Provider Report

WebSelect the health plan. From the Payer Spaces homepage, select the Resources tab. From the Resources tab, select Provider Online Reporting. Select I Agree on the disclaimer …

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Reimbursement Policies

WebReimbursement Policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is …

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Prior Authorization

WebProviders needing an authorization should call 1-844-462-0022 . The following always require prior authorization: Elective services provided by or arranged at nonparticipating …

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Join Our Network

WebJoining our network is easy! We’re glad to hear that you are interested in joining us! We have a diverse network of exceptional health care professionals that help ensure our …

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Credentialing program requirements

WebPage 4 of 5 2. Other professional practitioners o Excluding non-independently licensed individuals, e.g. qualified behavioral health professionals (QBHPs) such as LACs, LEPs, …

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Prior authorization requirements for services

WebProvider update All services referenced in this material are funded and provided under an agreement with the Arkansas Department of Human Services.

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Claims Submissions and Disputes

WebClaims dispute. To check claims status or dispute a claim: From the Availity homepage, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the …

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Supplemental support services during the COVID-19 pandemic

WebPage 2 of 4 intervention or direct engagement, or may also involve collateral resource development, all within the service limits described below.

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Telehealth billing: GT modifier and POS changes

WebProvider update . https://provider.summitcommunitycare.com. ARSMT-CAID-000623-22 05/23/2022 . Telehealth billing: GT modifier and POS changes . The Medicaid …

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ARSMT-CD-PM-003132-22 Arkansas Cover to Cover Provider …

WebProvider Manual Provider Services: 844-462-0022 https://provider.summitcommunitycare.com

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Physical Health and Support Services Precertification Form

Webhttps://provider.summitcommunitycare.com ARSMT-CD-015876-22 02/02/2023 . Physical Health and Support Services . Precertification Form . To prevent a delay in …

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