Who We Serve / Ambulatory & Community Providers
Ambulatory, Specialty, ASCs, FQHCs & RHCs
Primary care, specialty practices, ambulatory surgery centers, urgent care, federally qualified health centers, rural health clinics, school-based clinics, and free clinics all use SCeHA the same way — a single participation agreement, integrated into your existing EHR, that connects you to statewide and national records.
Who this is for
If your clinicians see patients whose records live in other systems — hospitals, specialists, other clinics, the national networks — SCeHA is the missing piece.
The value case
Rural and safety-net providers are the highest-leverage participants in a statewide exchange — the AMIA and Civitas evidence base is clear on this.
A single participation agreement gives you access to every other SCeHA participant plus the eHealth Exchange, Carequality, and CommonWell nationally.
Instead of paying your EHR vendor to build and maintain one interface per partner, use the SCeHA integration your EHR already supports.
InContext launches from inside Epic, Cerner, Athena, eClinicalWorks, and others — no separate login for your clinicians.
Direct Secure Messaging and closed-loop referral workflows keep specialists and primary care aligned on the plan of care.
Population Explorer surfaces gaps in care and utilization signals that support UDS, HEDIS, and MIPS reporting.
The statewide expansion lane specifically targets currently unconnected rural outpatient sites and rural hospitals so participation is affordable.
What you use
Bi-directional participation for practices contributes ADT (when available), CCDs, and external labs — and gives every clinician and support user access to the full record.
| SCeHA service | How you use it |
|---|---|
| InContext | Launches the patient's longitudinal record from inside your EHR with context preloaded. |
| Provider Portal | Web-based access at MySCeHA.org for coverage clinicians, after-hours, or sites without EHR integration. |
| Encounter Notification Service | Optional add-on: near-real-time templated ADT alerts when your attributed patients are admitted or discharged. |
| Direct Secure Messaging | HIPAA-compliant, DirectTrust-accredited messaging for referrals, consult notes, and care transitions. |
| Population Explorer | Panel-level view of encounters and utilization for care coordinators and quality staff. |
"Advanced HIE is estimated to deliver tens of billions of dollars annually in net value across providers, payers, and other stakeholders — with community-based providers among the primary beneficiaries."
Adapted from POCP Value of HIE from the Payer's PerspectiveParticipation & pricing
Under the 2026 SCeHA HIE Fee Schedule, ambulatory practices pay a flat per-provider annual subscription. Advanced practice providers operating at the top of their license are billed at the physician rate.
Fees shown are 2026 rates. Larger organizations qualify for tiered discounts. Full detail in the current SCeHA HIE Fee Schedule.
| Participant type | 2026 subscription |
|---|---|
| Physician, dental, optometry, podiatry, chiropractic (per provider) | $292 / year |
| APPs at top of license (NPs, CNMs, PAs, CNSs) | $292 / year |
| Larger practices | Negotiated tiered discount |
| Optional: ADT Alert Feed | One-time build fee plus annual maintenance |
Evidence base
A decade of peer-reviewed evidence documents HIE benefit for ambulatory care coordination, medication reconciliation, and reduced duplication.
AMIA / NIH review →Physicians identified access to comprehensive longitudinal records and improved care coordination as their primary sources of HIE value.
AHIMA RHIO analysis →Civitas Networks for Health documents the interoperability and use-case standards that state HIEs like SCeHA operationalize.
Civitas HDU Framework →Ready to participate?
Tell us about your organization and a SCeHA representative will walk you through the participation agreement, technical onboarding, and go-live plan. Standard onboarding activates within 60–90 days.
Start the sign-up process →Prefer to talk first? Contact SCeHA directly.