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Provider Manual

The Provider Manual was developed for Samaritan Health Plan Operations’ contracted providers to use as a tool in the delivery of healthcare to our members. This document should be used in conjunction with your contract with any of the following: Samaritan Health Plans, InterCommunity Health Plans, or Samaritan Health Services (SHS). 
Provider Manual (Updated Jan. 15, 2021)

Getting Started with Provider Connect, Your Provider Portal

For those provider partners not yet familiar with our provider portal, Provider Connect, we have put together a tutorial to help you sign up and navigate.
Provider Connect Tutorial

Medical Management Plan

The Medical Management Plan describes the Medical Management program structure, scope and department objectives. The Plan provides a current overview of the individuals, programs, project components and activities in place to monitor and improve the delivery of health care services contained within the oversight of the Medical Management program.
Medical Management Plan

IHN-CCO Utilization Management & Service Authorization Handbook

Utilization management (UM) is integrated within the Medical Management care management program. This handbook is designed to assist in understanding the prior authorization review process: types of reviews performed, specific criteria applied, notification process, etc. Please access this handbook for more information and step-by-step instructions for submitting online prior authorization requests.
Utilization Management & Service Authorization Handbook