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Get Credentialed

Credentialing Process

Chorus Community Health Plans (CCHP) requires all practitioners and organizations to complete the credentialing process before serving our members. This process helps ensure high-quality care, regulatory compliance and strong support for our network. Credentialing also provides members with confidence in every provider they meet.

If you are not yet contracted with CCHP, start by reviewing the Become a Provider page and then submitting a Letter of Interest. This step begins our contracting review and helps us understand your services. After contracting is complete, you can move forward with credentialing.

Individual Practitioner Credentialing

All licensed practitioners must be credentialed before delivering services to CCHP members. This includes physicians, behavioral health providers, advanced practice clinicians and other licensed professionals. Each applicant must meet eligibility requirements and complete the full credentialing review.

Eligible practitioner types include:

  • MD, DO, DDS, DPM, APNP, CNM, PhD, PsyD, LPC, LSCW, LMFT, CSAC, BCBA, AuD

These practitioners play essential roles in our care network. Credentialing ensures consistent, high-quality support for our members.

Individual Practitioner criteria and application requirements:

Organizational Credentialing

CCHP conducts assessments for organizations and facilities seeking to join our network.

Organizations and facilities include:

  • Hospitals
  • Skilled nursing facilities
  • Home health agencies
  • Free-standing surgical centers
  • Behavioral health or substance use treatment facilities (inpatient, residential or outpatient)

Each organization or facility will need to complete an initial assessment and recurring reviews every three years. These reviews help verify quality standards and regulatory compliance. This process supports consistent, safe and reliable care for members.

Organizational Practitioner criteria and application requirements:

Start the Process

Ready to get Started?
We utilize the Council for Affordable Quality Healthcare (CAQH) ProView™ online application system.

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

New to CAQH?
Submit an application on the CAQH website then notify us by completing the Practitioner Credentialing Request Form then emailing to cchp-credentialing@chorushealthplans.org.

We encourage all practitioners to include voluntary information about languages spoken and race or ethnicity. This information helps us better support the unique needs of our members. It also strengthens access to culturally responsive care.

CVO Partner

To ensure the highest quality of care and efficient processing, Chorus partners with a Credentialing Verification Organization (CVO), Symplr Payer. This partnership allows us to streamline the credentialing process, performing thorough and timely primary source verifications of practitioner credentials such as licenses, education, and certifications. Providers may interact directly with Symplr Payer for credentialing applications and verifications, while Chorus maintains responsibility for final credentialing decisions and network participation.

Symplr Payer is an NCQA certified CVO.  Achieving CVO certification from NCQA demonstrates that Symplr Payer has the systems, process and personnel in place to thoroughly and accurately verify providers' credentials and help health plan clients meet their accreditation goals.

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).