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Adding Practitioner to Contract

Adding Practitioner to a Contract

At CCHP, we value the importance of adapting to the growth and changes in your business. We understand that as your needs evolve, adding more practitioners to your current contract may become necessary. By following the process outlined below, you can integrate new practitioners to meet your organization's evolving needs.

Process

Adding a practitioner to a current contract.

Please use the Practitioner Credentialing Request form to add a provider to your existing contract.

All licensed practitioners must be credentialed prior to providing services to CCHP members.
(MD-DO-DPM-DC-APNP--CNM-PhD-PsyD-LPC-LCSW-LMFT-CSAC-BCBA-AuD)

To participate in our BadgerCare product, applicants must be certified with Wisconsin Medicaid.
To begin the credentialing process, CCHP uses the CAQH (Council for Affordable Quality Healthcare's) ProView™ application, which is available online.

Already registered with CAQH?
Complete the Practitioner Credentialing Request form then email the completed form to:
cchp-credentialing@chorushealthplans.org.

Not registered and new to CAQH?
Submit an application on the CAQH website then notify us by completing the Practitioner Credentialing Request form then email completed form to: 
cchp-credentialing@chorushealthplans.org.

Contact Credentialing

For questions about our credentialing process, contact our credentialing department.
844-229-2776
cchp-credentialing@chorushealthplans.org

Required Information on CAQH Application

CCHP requires the following information must be included in order to begin the credentialing process.

  • All information must be current and CAQH must be attested with current date.
  • All dates (work/employment/education) must include month and year.
  • Employment history for the last five years – must include start and end dates MDs/DOs must include complete history starting from medical education.
  • Gaps in employment greater than 60 days must be explained.
  • Hospital privileges must include hospital name, affiliation status, start date (MM/YY).
  • If in process, must include covering physician’s name, hospital affiliation, status, start date (month and year) If no hospital privileges, need to explain admitting arrangements, if through a covering physician, include hospital name, affiliation status and start date (MM/YY).
  • APNP’s / CNM's are required to include a copy of their Collaborative Agreement, Specialty and/or Scope of Practice.
  • A copy of professional liability insurance face sheet (must include dates and incident/aggregate dollar amounts, amounts must be minimum $1 million/$3 million).