Provider Resources
- Provider Quick Reference Guide
- Manuals, Forms and Resources
- Electronic Transactions
- Eligibility Verification
- Grievance Process
- Clinical & Payment Policies
- Integrated Care
- National Imaging Associates (NIA)
- Patient Centered Medical Home Model
- Prior Authorization
- Nevada Medicaid Revalidation Documents & Reports
- Report Fraud, Waste and Abuse
- HEDIS Quick Reference Guide (PDF)
- COVID-19 Medicaid Notice of Vaccine Billing Guidelines
- For more information regarding the HEDIS Quick Reference Guide, please contact:
- Nazhrene Dator, HEDIS Coordinator: Nazhrene.Dator@SilverSummitHealthplan.com
To help patients engage their healthcare provider in conversations that empower them to ask questions about what tests and procedures are right for them, patient-friendly materials have been created based on the specialty societies' lists of recommendations of tests and treatments that may be unnecessary.
You can find this information at Choosing Wisely.
2021
- SilverSummit Healthplan Provider Scorecard Adult Medicaid and Ambetter (PDF)
- SilverSummit Healthplan Provider Scorecard Child (PDF)
2020
- SilverSummit Healthplan Provider Scorecard Behavioral Health Adult and Child (PDF)
- SilverSummit Healthplan Provider Scorecard Behavioral Health (PDF)
- SilverSummit Healthplan Provider Scorecard Child CHIP (PDF)
- SilverSummit Healthplan Provider Scorecard Child CCC (PDF)
2019