2010 Provider Manual

View complete 2010 Provider Manual (.pdf)

2010 Provider Manual Chapters
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.

  1. Introduction (.pdf)
  2. Rights and Responsibilities of Physicians and Providers (.pdf)
  3. Provider Services (.pdf)
  4. Provider Billing (.pdf)
  5. Credentialing (.pdf)
  6. Medical Management (.pdf)
  7. Clinical Practice Guidelines (.pdf)
  8. Fraud and Abuse (.pdf)
  9. Complaint Reporting (.pdf)
  10. Community Care Connector (.pdf)
  11. Joint Powers Board (.pdf)
  12. Member Services (.pdf)
  13. Member Eligibility (.pdf)
  14. Member Sample ID Cards (.pdf)
  15. Member Grievances and Appeals Process for Medicaid Programs (.pdf)
  16. Restricted Recipient Program (.pdf)
  17. Wellness Programs (.pdf)
  18. Child and Teen CheckUp Programs (.pdf)
  19. Chiropractic Services (.pdf)
  20. Dental Services (.pdf)
  21. Pharmacy Services (.pdf)
  22. Chemical Health Services (.pdf)
  23. Mental Health Services (.pdf)
  24. Home Health Care Services (.pdf)
  25. Eyeglasses and Vision Care Services (.pdf)
  26. Interpreter Services (.pdf)
  27. Non-Emergency Transportation Services (.pdf)
  28. Critical Access Hospital (.pdf)
  29. Rural Health Clinic (.pdf)

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 Programs

Chemical Dependency

Provider Updates & Network News

Questions & Answers