South Country Health Alliance Forms
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Forms – South Country Health Alliance
(7 days ago) WebTransportation Forms. Form Name & Description. Form. Medical Services Request Form. Use this form when requesting authorization for medical/surgical services, DME, and out-of-network requests. 4497 (pdf) Early Intensive Developmental and Behavior Intervention …
https://mnscha.org/providers/forms-2/
Category: Medical Show Health
Forms – South Country Health Alliance
(5 days ago) WebStep Up! for Better Health. Health Education & Self Help; Health Care Directive; Close; Wellness Support Team; Wellness Programs; Embracing Life Online. Prenatal & Postpartum Care; Feeding Your Baby; Childproofing, First Aid and Safety; …
https://mnscha.org/providers/forms/
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South Country Health Alliance Provider Portal
(7 days ago) WebJoin the South Country Health Alliance Provider Network. We share the same mission as doctors, dentists and other health care professionals, hospitals and facilities. We all strive for the better health and well-being of your patients - our members. For Non-Contracted …
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South Country Health Alliance
(9 days ago) WebWho Are We? South Country Health Alliance is a county-based purchasing health plan serving 8 Minnesota counties — Brown, Dodge, Goodhue, Kanabec, Sibley, Steele, Wabasha and Waseca — in a joint effort to support accessible, quality health …
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Claims – South Country Health Alliance
(2 days ago) WebFor pharmacy claims, see Pharmacy. Click here for additional claims submission information. Service. Submission Information. Medical/Behavioral Health Services or Chiropractic. SCHA Provider Portal (website) 1-888-633-4055. Payer Identification …
https://mnscha.org/providers/other-resources/claims/
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Provider Portal and Authorizations – South Country Health Alliance
(4 days ago) WebUse the Provider Portal for claim dates of service starting January 1, 2019. For dates of service prior to January 1, 2019, or any other issues or questions when using our Provider Portal, please call the Provider Contact Center at 1-888-633-4055.
https://mnscha.org/providers/provider-portal-and-authorizations/
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Member Services – South Country Health Alliance
(3 days ago) WebFor AbilityCare (HMO SNP) and SeniorCareComplete (HMO SNP) members call center hours are: 8 a.m.-8 p.m., Monday-Friday, from April through September. 8 a.m.-8 p.m., 7 days a week, from October through March. Email [email protected]. Member …
https://mnscha.org/members/member-services/
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Managed Care Referral Request Form – South Country Health …
(4 days ago) WebFor members of the Restricted Recipient Program only, this form is used to refer a member to a specific provider. Step 1 of 3 - Member Information. 0%. Date (Required) Add date when form is filled out. Month, day, year. Member Full Name (Required) The first name, …
https://mnscha.org/managed-care-referral-request-form/
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AbilityCare (HMO SNP) – South Country Health Alliance
(6 days ago) WebAbilityCare is a Medicare Advantage Special Needs BasicCare (SNBC) program for people with disabilities who live in our 8-county service area. AbilityCare is designed to help people with disabilities access the health care, medications and support services they need. …
https://mnscha.org/programs/medicare-advantage-programs/abilitycare-hmo-snp/
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Pharmacy – South Country Health Alliance
(4 days ago) WebThis form is used to ask for coverage of a specific drug. Submit an Electronic Prior Authorization (ePA) through your Electronic Health Record (EHR) tool software, or through any of the following online portals: CoverMyMeds (external link) SureScripts (external …
https://mnscha.org/providers/other-resources/pharmacy/
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SeniorCare Complete – South Country Health Alliance
(6 days ago) WebSeniorCare Complete is a Minnesota Senior Health Options (MSHO) program. SeniorCare Complete is designed to help seniors access the health care, medications and support services they need. To be eligible for SeniorCare Complete, you must: Be at least 65 at …
https://mnscha.org/programs/medicare-advantage-programs/seniorcare-complete/
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Contact Us for Providers – South Country Health Alliance
(Just Now) WebProvider Contact Center. 8 a.m. to 4:30 p.m. CST, Monday through Friday. Starting 12/1/2022 closed from 12 noon - 1 pm. Toll Free: 1-888-633-4055. Direct Provider Network Email: [email protected].
https://mnscha.org/contact-2/contact-us-providers/
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Provider Manual Updates – South Country Health Alliance
(9 days ago) WebThis list provides a basic summary of updates to the provider manual. For further details check the chapter referenced. Updated covered services section and added section regarding driving requirements. Updated section on SAD lights and updated …
https://mnscha.org/providers/provider-manual/provider-manual-updates/
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Directory Request Form – South Country Health Alliance
(2 days ago) WebUse this form to request a printed copy of one of the provider directories from South Country Health Alliance. Please complete the form below. Who are you? (Required) Member or Authorized Representative. County Staff. Provider. This form will be sent …
https://mnscha.org/directory-request-form/
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Provider Updates & Bulletins – South Country Health Alliance
(1 days ago) WebJuly 1, 2023 Provider Network News: Summer 2023 (pdf) Provider Updates & Bulletins. April 11, 2024 CMS NCCI Coding Updates. April 10, 2024 Medicare Supplemental Benefit Eyewear Lens Upgrades. April 4, 2024 CMS Recognizes Two …
https://mnscha.org/providers/provider-news-updates/
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Frequently Asked Questions – South Country Health Alliance
(4 days ago) WebAnswering your questions. Please find the answers for your frequently asked questions below. Just click the question to reveal the answer. Use the questions topic filter to narrow the list. All. Accessibility. Giving. Staff. Test.
https://mnscha.org/providers/forms-2/frequently-asked-questions/
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Grievances and Appeals – South Country Health Alliance
(Just Now) WebThere are forms below for submitting either a grievance or an appeal that you can print and mail to us at: Grievance and Appeals South Country Health Alliance 6380 West Frontage Road Medford, MN 55049. Or fax to 1-507-444-7774. Or call Member Services. For …
https://mnscha.org/members/grievances-and-appeals/
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Find A Provider – South Country Health Alliance
(5 days ago) WebThe network providers in the sources shown below have agreed to provide South Country Health Alliance members with health care coverage. In most cases, members will need to use network providers to get services. Members may go to any of …
https://mnscha.org/find-a-provider/
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