CAQH ID Will Be Mandatory for Professional Providers’ Network Participation

11/05/2024

Later this year we are making some changes to simplify our non-delegated credentialing and recredentialing processes for professionals and to improve our provider directories.

Initial Credentialing
For first-time credentialing, we will continue to require a Council for Affordable Quality Healthcare (CAQH) ID. We will not process applications submitted without one.

Recredentialing
We are expanding our partnership with CAQH to include our recredentialing processes. We will import your CAQH information into our system. This will translate into less administrative work for our providers.

Quarterly Directory Listing Validation
We will also have CAQH conduct our quarterly directory validation audits. Please make your staff aware that CAQH may call and empower them to validate your directory and network participation.

See how to communicate data changes with us going forward (EmblemHealth | ConnectiCare).