To continue participation in our network(s), providers must adhere to recredentialing guidelines. All providers are recredentialed every 3 years from their initial credentialing acceptance date.
Criteria and Standards
- Adhere to the same criteria and standards as required during their initial credentialing
- Application will go through the same process of verification and review as outlined on the standards page
Application
The Network Operations Department preprints all recredentialing applications based on information received from the provider upon initial credentialing. The application is mailed to the provider at least 180 days prior to the recredentialing deadline date to ensure ample time is allowed for verification.
The provider may make any necessary updates or changes to the information printed on the application. All providers must submit the preprinted application completed, signed and dated, along with the following required documentation as applicable by specialty:
- Professional State Medical License
- Louisiana Controlled Dangerous Substance (CDS) License and Federal DEA Certificate
- Certificate(s) of Malpractice Insurance
- Certificate of Louisiana Patients Compensation Fund, as applicable
- History of malpractice claims paid (past 3 years)
- Curriculum Vitae (CV) (past 3 years' work history)
- Certification(s), including Educational Certifications and Training (CMEs)
- Certification(s), including Board Certification, as applicable for re-certifications or certifications obtained since the last credentialing
Relocation
Providers are not required to be recredentialed when you simply relocate your practice.
- We may request specific credentials, as necessary, such as new hospital privileges or a copy of individual malpractice policy
- Systems will be updated within 11 days after receiving new address
- No disruption to provider's network participation
