Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

Provider Satisfaction Survey Our friendly provider network team would love to hear from you. Tell us how we are doing and please take a minute or two to complete our survey!
 Take the Survey! First point of contact for provider questions should be directed to South Country Provider Contact Center (PCC) at 1-888-633-4055 (toll free). South Country PCC is open Monday-Friday from 8 a.m. to 12 p.m. and 1 p.m. to 4 p.m.; they are closed from Noon to 1 p.m. CST. South Country Health Alliance Provider Contact Center Mandatory enrollment
with Minnesota Health Care Programs Effective January 1st, 2024, all providers must be enrolled with Minnesota Health Care Programs (MHCP) before submitting a contract application to South Country Health Alliance (South Country) for consideration. MHCP is administered by the Minnesota Department of Human Services (DHS). The following must be enrolled:
• All clinic or facility NPIs
• Every clinic or facility location (if one NPI is affiliated with multiple locations)
• All affiliated practitioners
Please do not submit a contract application to South Country until you have received an Enrollment or Welcome Letter/Notification from MHCP. Instructions for enrolling with MHCP may be found on the DHS Website.
 Access the Provider Portal Options for Providers Affected by the Change Healthcare Cyberattack
 South Country understands the challenges with claim submission you may be facing in light of Change Healthcare’s current situation. Providers are still required to submit all claims electronically. Options include using a clearinghouse to submit professional and institutional batch claims via Electronic Data Interchange (EDI) or registering with HealthEC aka MN E-Connect to direct data enter claims. MN E-Connect may be reached at 1-877-444-7194 or https://mneconnect.healthec.com/.

The current cyberattack on Change Healthcare may also impact access to your remittance advice through their platform and you may find this information is temporarily unavailable. Providers may access their remittance advice through our secure provider web portal.  If you are not registered with the South Country Health Alliance web portal, you may register on our website at https://mnscha.org. 

Further questions regarding clearinghouses and remittance advice should be directed to South Country's Provider Contact Center at 1-888-633- 4055.
 The South Country Health Alliance (South Country) Provider Contact Center will be closed on Thursday and Friday, July 4 and 5, 2024 in observance of Independence Day.
As a reminder, providers may use the options below during this time:

• South Country Provider Portal to verify eligibility, check claim status, and send secure email to the Provider Contact Center. Once you have submitted a claim, you may register to access the Provider Portal;

• Minnesota Department of Human Services (DHS) Enrollment Verification System (EVS) Line: 1-651-431-2700 or 1-800-657-3613 (toll free);

• DHS Minnesota Information Transfer System (MN-ITS) MNITS Login Page (state.mn.us) to verify eligibility.
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Providers

Credentialing

The South Country process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy.
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Provider COVID-19 Resources & Info

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Provider News & Updates

Get the latest South Country news and updates from the Provider Network Department.
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Provider Training Resources

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Forms

Browse our library for forms, instructions and other resources you need.
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Provider Manual

Check the provider manual for up-to-date information and reference material.
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Other Resources

Claims
Pharmacy
Quick Reference
Access and Availability (pdf)
Copay Reference Chart (pdf)
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Provider Portal & Authorizations

Log in to the portal and access information, tools and forms you need to serve members.
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Coverage Criteria

South Country Medical policy  for authorization decisions.
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Non-Contracted Providers

For out-of-network providers who see South Country members.
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Cultural Competency Supporting Health Equity

Learn more about how cultural competency is important to serving South Country members better.
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Accessibility by WAH