Credentialing
Latest Provider Updates
Apr. 28, 2010 Primary Care Clinic Accessibility Survey starts May 1st. Read more...
Mar. 30, 2010 $75k available for Rural Health Collaborative Pilot Grants. Download .pdf
Mar. 30, 2010 Mar.-Apr.. issue of Provider Network News. Download .pdf
Jan. 28, 2010 Provider Bulletin on Maternal Depression Screening. Download .pdf
Jan. 28, 2010 Jan.-Feb. issue of Provider Network News. Download .pdf
Nov. 16, 2009 New Provider Incentive for Lead Testing. Read more...
Nov. 4, 2009 Electronic Claim Submission Notice. Download...(.pdf)
Nov. 4, 2009 Chemical Dependency Program Claim Submission update. Download...(.pdf)
Sept. 24, 2009 The September-October edition of "Provider Network News" is hot off the press. Read more...(.pdf)
Aug. 3, 2009 South Country Health Alliance is now part of the Minnesota Credentialing Collaborative (MCC). Read more...(.pdf)
July 23, 2009 The July-August 2009 issue of "Provider Network News" is released (.pdf)
May 27, 2009 Sign up online to receive provider updates and SCHA's monthly provider newsletter "Provider Network News" direct to your email inbox
Mar. 30, 2009 SCHA is providing the following disease management programs for members: heart condition, diabetes, and asthma. Read more on the new Disease Management Programs page.
Please read before continuing: Unless you are currently a contracted provider for South Country Health Alliance (SCHA), the information on this page does not pertain to you. If you are interested in becoming a contracted provider for SCHA, please complete the Provider Contract Application (.doc) form. Instructions for submission are on the form. Thank you!
South Country Health Alliance is now part of the Minnesota Credentialing Collaborative (MCC).
Instructions: Minnesota Uniform Provider Credentialing Form
- Download and print the Provider Credentialing Application (pdf) or complete the online form version (.doc).
- Fill out the form. Please type or print legibly using blue or black ink.
- Fax, mail, or email the completed form to:
Jeanette Garcia
322 Laurel Street / PO Box 463
Brainerd MN 56401
218-316-3180
Fax: 218-316-3190
jgarcia@mnscha.org
Important Tips to Complete the Credentialing Process as Quickly and Efficiently as Possible:
- Credentialing applications should be submitted at least 90 days prior to the date the practitioner intends to start providing services to SCHA members. SCHA needs sufficient time to complete the credentialing process.
- All applicable sections of the application must be completed.
- All dates must be in month and year format.
- Unless the practitioner has recently completed their education, a five year employment history is required. Gaps of more than three months must be explained.
- A current copy of the practitioner’s MN license, DEA registration (if applicable), and certificate of malpractice liability insurance must be submitted with the application.
- The malpractice insurance certificate must list the practitioner’s name (in typed format), amount of coverage, and expiration date. If the practitioner’s name is not listed on the certificate, a statement on clinic letterhead listing the practitioners that are covered by the policy is required.
- All signature pages of the application should be dated within 30 days of submitting the application to SCHA.