2011 Provider Manual

View complete 2011 Provider Manual (.pdf)

2010 Provider Manual Chapters

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)
30. Nursing Facility (.pdf)

Last Updated: 6-14-11
H5703_1747, H2419_1747, CMS Approved 7-31-2011
H2419_1736, H5703_1736, CMS Approved 7-30-2011
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South Country Health Alliance is a Coordinated Care plan with a Medicare Advantage
contract and a contract with the Minnesota Medical Assistance program.