As a reminder, effective June 1, 2019,
allcertified registered nurse practitioners (CRNP) and physician assistants (PA) will be
required to be credentialed to provide independent, unsupervised services to AmeriHealth members.
Note: These updated requirements only affect CRNPs and PAs who want to see an AmeriHealth 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, AmeriHealth began accepting requests for participation in our network as a CRNP or PA
on January 1, 2019. Applications received through April 1, 2019, will be processed prior to June 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 AmeriHealth members. Please allow up to
45 business days to process applications.
For information on our network credentialing process and credentialing criteria, please visit the credentialing webpages for
AmeriHealth New Jersey or
AmeriHealth Pennsylvania. CRNPs and PAs should apply for credentialing by completing the online
Practitioner Participation Form for
AmeriHealth New Jersey or
AmeriHealth Pennsylvania.
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.