Network Management Services is the liaison between the contracted provider network and SCAN. We are responsible for the development and maintenance of our comprehensive provider network. We are here to assist you. Please contact your provider representative with any questions, issues, or concerns.

MYONG LEE (602) 778-3383
Director, Network Management

SHARON HAWN (602) 778-3352
Manager, Network Management

FRANKIE JAMES (602) 778-3358
Network Management Services Specialist
Hospitals, Skilled Nursing Facilities, and Ancillary Providers

MARY WARD (602) 778-3355
Home and Community Based Service Providers
Network Management Services Specialist
Primary Care and Specialist Physicians
(Phoenix and West Valley)

CAROL RENSLOW (602) 778-3452
Network Management Services Specialist
Primary Care and Specialist Physicians
(East Valley and Pima County)

NETWORK MANAGEMENT DEPARTMENT 1-866-406-0937
General network inquiries
AZNetMgmt@scanhealthplan.com

It’s very important that you contact us should you have any changes to your group/facility information (name change, pay-to address, or Tax Id number)

Below are several tools to help you provide the best quality care possible to your patients.

Tools / Quick Checks SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
Adult Health Screening and Immunization Schedule
Appointment Availability and Accessibility Standards
ANSI v5010
Claims Billing Address
Claims Inquiry
Description of SCAN’s Health Plans
Drug Formulary Search
Drug Formulary Updates
Electronic Data Interchange
Electronic Fund Transfer Information coming soon coming soon
Enrollment Verification
All members under both SCAN Health Plan Arizona and SCAN Long Term Care should receive a Member Identification (ID) card to show enrollment in our plans.

Members under SCAN Health Plan Arizona are issued a Member ID card from SCAN and members under SCAN Long Term Care should receive a Member ID card from Arizona Health Care Cost Containment System (AHCCCS).

Although an ID card does not guarantee that a Member is still eligible for services at the time of services. So, It is critical to verify insurance coverage and panel assignment to your practice (if applicable) before providing services.

Be sure to ask your patient for all insurance cards they might have, as they may have other insurance in addition to our plans.

Keep in mind when using this eligibility tool, only the co-payment amounts for that particular plan are listed. So, if a member is dually enrolled with both SCAN Health Plan Arizona Special Needs Plan (SNP) and an AHCCCS Long Term Care, the co-pays listed under the SNP plan would be covered by the Long Term Care Plan.

Member Services is responsible for ensuring that all membership information is accurate. However, if errors are found in a member’s eligibility records listed, please call Member Services to report the discrepancy at (888) 540-7226.

SCAN Health Plan Arizona (Medicare), click here

SCAN Long Term Care (ALTCS), click here

[x] click here to close
Fraud and Abuse
NPI Look Up
Non-Provision Of Service Info  
Part D Prior Authorization Criteria  
Prior Authorization Requirements
To download the prior authorization requirements please choose between the following Medicare plans.

SCAN Health Plan Arizona (MAPD)
SCAN Health Plan Arizona is a Medicare Advantage Prescription Drug Plan for people who have Medicare Part A&B and are not diagnosed with ESRD. The service area is Maricopa County
SCAN Health Plan Arizona (SNP)
SCAN Health Plan Arizona is a Medicare Advantage Special Needs Program for people who are enrolled onto the ALTCS program, have Medicare A & B and not diagnosed with ESRD. Members may live in private residences, assisted living facilities or nursing homes. The service area is Maricopa County.

[x] click here to close
Drug Formulary/Preferred Drug List
Provider Operations Manual
Provider Search
To search for a provider in the SCAN Network choose between the following Medicare plans.

SCAN Health Plan Arizona (MAPD)
SCAN Health Plan Arizona is a Medicare Advantage Prescription Drug Plan for people who have Medicare Part A&B and are not diagnosed with ESRD. The service area is Maricopa County
SCAN Health Plan Arizona (SNP)
SCAN Health Plan Arizona is a Medicare Advantage Special Needs Program for people who are enrolled onto the ALTCS program, have Medicare A & B and not diagnosed with ESRD. Members may live in private residences, assisted living facilities or nursing homes. The service area is Maricopa County.

[x] click here to close
Radiology Management  
Step Therapy Criteria  
Urgent Care List – Next Care


Forms SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
1500 Form
UB04 Form
DME/Medical Supply Request Form
Certificate of Medical Necessity for Commercial Oral Nutritional Supplements  
EPSDT forms  
Medical Prior Authorization Request Form
Member No-Show Notification Form
Off-Shore Attestation
Pharmacy Prior Authorization Form

Specialty Prescription Prior Authorization Form


Referral Form


Resources SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
AHCCCS Performance Measures  
AHCCCS Provider & Member Survey  
AHCCCS Newsletter  
Care Transitions
Clinical Practice Guidelines
Fraud Awareness for Providers
Interpretative Services
MedWatch Reporting Program  
Model of Care  
Multi-Cultural Competency
Provider Newsletters go go
SCAN Member Survey  
SCAN CME
SCAN Performance Measures  
SCAN Provider Survey  


Provider Notification Archives SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
Provider Notification Archives

Last updated on 1/13/2012