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Updated credentialing requirements for CRNPs and PAs 

December 12, 2018    

Effective June 1, 2019, all certified registered nurse practitioners (CRNP) and physician assistants (PA) will be required to be credentialed to provide independent, unsupervised services to Independence members.

Note: These updated requirements only affect CRNPs and PAs who want to see an Independence member on their own without physician supervision. These new requirements would also not allow a CRNP or PA to see a member for an initial visit, because that requires a physician.

Becoming a credentialed CRNP or PA

In order to make this new requirement as seamless as possible, Independence will accept requests for participation in our network as a CRNP or PA beginning January 1, 2019, through April 1, 2019. Applications received after April 1, 2019, may not be processed prior to June 1, 2019. CRNPs and PAs not credentialed by June 1, 2019, will not be able to render services to Independence members. Please allow up to 45 business days to process applications.

For more information on our network credentialing process and credentialing criteria, please visit our Professional Provider Credentialing webpage. CRNPs and PAs should apply for credentialing by completing the Practitioner Participation Form.

Any professional provider interested in participating in our network must complete a Practitioner Participation Form. You can simplify this process by using the Council for Affordable Quality Healthcare’s (CAQH) online credentialing application: CAQH ProView™.

Note: If you have already been credentialed, there is no need to resubmit a credentialing application.

More information

We will publish more information about this requirement in future Partners in Health UpdateSM articles.

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