CAQH ID To Be Mandatory for Network Participation

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CAQH ID To Be Mandatory for Network Participation

11/14/2024

Starting Dec. 9, 2024, we are making some changes to both simplify our non-delegated credentialing and recredentialing processes for professionals and to improve our provider directories.

Initial Credentialing

For first-time credentialing, we will continue to require a Council for Affordable Quality Healthcare (CAQH) ID. We will not process applications submitted without one.

Recredentialing

We are expanding our partnership with CAQH to include our recredentialing processes. We will import your CAQH information into our system. This will translate into less administrative work for our providers.

Quarterly Directory Listing Validation

We will also have CAQH conduct our quarterly directory validation audits. Please make your staff aware that CAQH may call and empower them to validate your directory and network participation.

See how to communicate data changes with us going forward:

EmblemHealth | ConnectiCare.

 

JP 67475 11/2024

Provider Update