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Credentialing

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

  1. Download and print the Practitioner Credentialing Application (pdf) or complete the online form version (.doc).
  2. Fill out the form. Please type or print legibly using blue or black ink.
  3. Fax, mail, or email the completed form to:
    Jeanette Garcia
    P.O. Box 463
    Brainerd MN 56401
    218-316-3180
    Fax: 218-270-3003
    jgarcia@mnscha.org

Important Tips to Complete the Credentialing Process as Quickly and Efficiently as Possible:

Practitioners Rights and Notification

Additional Credentialing Forms

Provider Resources

Quick Reference Phone Numbers

Claims

Credentialing

Provider Manual

Provider Directory (.pdf)

Forms

Policies

Sample ID Cards

Pharmacy Info

Prior Authorization & Notification List

Disease Management & Chronic Care Improvement Programs

Chemical Dependency

Provider Updates & Network News

Questions & Answers