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Provider resources

Resources

If you have an idea or suggestion for improving our provider website, or if there is a tool you would like to see online, please email us at: providerservices@scfhp.com, or call us at 1-408-874-1788.

Frequently asked questions

Advance Healthcare Directive

In order to designate a healthcare representative in the case of incapacitation, a member must fill out an Advance Healthcare Directive form. The directive details the types of treatment a member wishes to receive or avoid and allows a member to designate a healthcare agent. The healthcare agent can make health-related decisions if the member is no longer able to make these decisions. The member's rights as a SCFHP health plan member apply to this designated healthcare agent.

The Advance Healthcare Directive Form can be downloaded here.

Member frequently asked questions

Community resources for your patients

Occasionally, your patients may need help from local community services. Please visit our Community Resources page to access descriptions and contact information for local community organizations. This information is provided as a public service. SCFHP is not a sponsor of the organizations or events referenced in Community Resources.

Fraud, Waste & Abuse Resources

View the SCFHP Fraud, Waste & Abuse page.

Review Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians, published by the Centers for Medicare and Medicaid Services (CMS).

Medicare Learning Network for providers

The Medicare Learning Network® (MLN) is the home for education, information, and resources for the healthcare professional community. The MLN provides access to CMS Program information you need, when you need it, so you can focus more on providing care to your patients.

Serving as the umbrella for a variety of CMS education and communication activities, the MLN offers:

Review the MLN Catalog for a list of all training opportunities and resources.

HIPAA

The following resources are provided by the Centers for Medicare and Medicaid Services (CMS) Medicare Learning Network (MLN).