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HealthPartners credentialing program supports the selection and retention of highly qualified and competent professional staff to meet our member's health care needs.
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Credentialing and Enrollment
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Through credentialing, we ascertain whether or not individual health care professionals meet specific objective criteria. Individuals are credentialed when they apply for participation in a HealthPartners network and every three years thereafter.
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Learn more about Credentialing and Enrollment
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- How do I get credentialed with HealthPartners?
ApplySmart System
- How long does the credentialing process take?
- What to do if I am currently credentialed with HealthPartners and am joining a new clinic?
- How do I know if I am currently credentialed with HealthPartners?
- What paperwork should be completed for non-credentialed practitioner types?
- How can I review information about practitioners working in my clinic?
- Behavioral Health Practitioners
- Do I need to inform HealthPartners if I leave my clinic?
- Where to submit Medical Practitioners Credentialing Requests
- Where to submit Non-Credentialed Practitioner Requests
- Where to submit Dental Practitioner Requests
What is Credentialing?
Credentialing is the process of assessing and validating the qualifications of a licensed independent practitioner to provide patient care. To begin the credentialing process, you must be a HealthPartners contracted provider.
If you are interested in providing contracted medical or dental services for HealthPartners members, please contact us at Provider Contracting.
If you are a behavioral health provider (Mental Health and Chemical Health) interested in contracting with HealthPartners, please complete the Behavioral Health Application.
How do I get credentialed with HealthPartners?
When a practitioner type that HealthPartners credentials joins a HealthPartners contracted clinic, the practitioner or clinic must complete a credentialing application.
ApplySmartTM system
HealthPartners is now using the Minnesota Credentialing Collaborative's (MCC) ApplySmartTM system and is requesting all practitioners use this new, efficient system. Practitioners or clinics can join the MCC and use this web-based credentialing application for submission of the credentialing application to HealthPartners. Join Now at http://Mncred.org.
If you or your clinic are already a member of the MCC and have an ApplySmartTM account, log into ApplySmartTM to submit your credentialing application to HealthPartners.
If you are unable to sign up for ApplySmartTM , HealthPartners will temporarily continue to accept the paper applications. Medical practitioners or clinics complete the
Minnesota Uniform Credentialing Application and fax or email it to Credentialing.
Dental providers or clinics complete the Initial Dental Credentialing Application and fax or email to Dental Contracting.
Practitioners may not see HealthPartners members and will not appear in directories or in any Member Service resources until the credentialing process is completed and the application is approved.
How long does the credentialing process take?
The process can vary depending on completeness of the application, whether additional information needs to be obtained from the practitioner, and whether the practitioner meets all HealthPartners credentialing criteria. It is recommended that an application be submitted at least 90 days prior to employment date.
Practitioners will receive written notification once their application has been approved. Practitioners or clinics may also contact the HealthPartners Credentialing Service Bureau at 952-883-5755 to check the status of an application.
Practitioners may not see HealthPartners members and will not appear in directories or in any Member Service resources until the credentialing process is completed and the application is approved.
What to do if I am currently credentialed with HealthPartners and am joining a new clinic?
A practitioner who is currently credentialed with HealthPartners and is just changing clinic sites needs to notify HealthPartners.
Medical practitioners can submit the Minnesota Uniform Practitioner Change Form with the Site Location Addendum page, if applicable, to ProviderData@healthpartners.com or fax: 952-853-8703.
Dental providers complete the Dental Contracted Provider Change Notice and fax or email to Dental Contracting.
How do I know if I am currently credentialed with HealthPartners?
Please contact HealthPartners Credentialing Service Bureau at (952) 883-5755.
What paperwork should be completed for non-credentialed practitioner types?
When a non-credentialed practitioner type joins a HealthPartners contracted clinic or is already enrolled in the HealthPartners provider network or just changes clinic sites, notify HealthPartners using the Minnesota Uniform Practitioner Change Form (with the Site Location Addendum if applicable) and fax or email to Provider Data Support. Newly enrolled practitioners (except Interpreters) must submit a NPI to be enrolled with HealthPartners.
How can I review information about practitioners working in my clinic?
Contracted providers can manage clinic and practitioner information on-line through the HealthPartners Provider Portal. This application offers practitioner information related to specialties, clinics, and personal profiles. To gain access to this time-saving tool contact your site adminstrator or use the Contact Us link for assistance.
Behavioral Health Practitioners
HealthPartners requests all behavioral health practitioners to identify age populations or services or verifiable expertise they provide. This information will help us better serve you and our members. Omission of this data will result in an inability to recommend you as provider for members requesting or needing specific behavioral health services.
To gain access to this convenient on-line tool, contact your site administrator or use the Contact Us link for assistance.
Do I need to inform HealthPartners if I leave my clinic?
It is very important that HealthPartners be notified when a practitioner leaves a contracted clinic.
Medical practitioners complete the Minnesota Uniform Practitioner Change Form and fax or e-mail to Provider Data Support .
Dental providers complete the Dental Contracted Provider Change Notice and fax or email to Dental Contracting.
It is recommended to use secured, encrypted email service to send private and protected information via email.
Submission Information for Medical Practitioners Credentialed by HealthPartners
Fax: (952) 853-8702
Credentialing@HealthPartners.com.
HealthPartners Credentialing Service Bureau 21107Q
P.O. Box 1309
Minneapolis, MN 55440-1309
Phone (952) 883-5755
Submission Information for Non-Credentialed Practitioners
Fax: 952-853-8703 or e-mail: ProviderData@HealthPartners.com
Submission Information for Dental Practitioners
Fax: 952-883-5160 or email: DentalContracting@HealthPartners.com
HealthPartners Dental Credentialing
Mailstop 21113A
PO Box 1309
Minneapolis, MN 55440-1309
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- Practitioner Types Credentialed by HealthPartners
- Non-Credentialed Practitioners
Practitioner Types Credentialed by HealthPartners
| Practitioner Type/Title |
Practitioner Type/Title Explanation |
| APRN |
Advanced Practice Registered Nurse
(all Nurse Practitioner types except CRNA) |
| CCDC II |
Certified Chemical Dependency Counselor II (SD only) |
| CCDC III |
Certified Chemical Dependency Counselor III (SD only) |
| CICSW |
Certified Independent Clinical Social Worker (WI only) |
| CMFT |
Certified Marriage and Family Therapist (Nebraska Only) |
| CNM |
Certified Nurse Midwife |
| CNP |
Certified Nurse Practitioner |
| CNS |
Clinical Nurse Specialist |
| CPC |
Certified Professional Counselor (ND/SD/WI only) |
| CSW-PIP |
Clinical Social Worker in Private Independent Practice (SD only) |
| DC |
Doctor of Chiropractic |
| DDS |
Dentist |
| DMD |
Dentist |
| DO |
Doctor of Osteopathy |
| DPM |
Doctor of Podiatric Medicine |
| IntCS, CSAC |
Intermediate Clinical Supervisor,
Clinical Substance Abuse Counselor (WI only) |
| IndCS, CSAC |
Independent Clinical Supervisor,
Clinical Substance Abuse Counselor (WI only) |
| LAC |
Licensed Addiction Counselor (ND only) |
| LADC |
Licensed Alcohol and Drug Counselor |
| LCSW |
Licensed Clinical Social Worker (WI only) |
| LICSW |
Licensed Independent Clinical Social Worker |
| LISW |
Licensed Independent Social Worker (IA only) |
| LMFT |
Licensed Marriage and Family Therapist |
| LP |
Licensed Psychologist |
| LPC |
Licensed Professional Counselor |
| LPC-MH |
Licensed Professional Counselor Mental Health (SD only) |
| LPCC |
Licensed Professional Clinical Counselor (ND and MN only) |
| LTM |
Licensed Traditional Midwife (MN only) |
| MBBCH |
Bachelor of Medicine and Bachelor of Surgery |
| MBBS |
Bachelor of Medicine and Bachelor of Surgery |
| MD |
Physician |
| OD |
Doctor of Optometry |
| PA-C |
Physician Assistant Certified |
Note: This list is subject to change
Non-Credentialed Practitioners
The practitioners that HealthPartners does not credential are:
- Acupuncturists
- Anesthesiologists (unless practicing pain management in a clinic setting)
- Audiologist
- Certified Genetic Counselors
- Certified Registered Nurse Anesthetists
- Certified Registered Nurse First Assistants
- ER Practitioners (unless also practicing in a clinic setting)
- Interpreters
- Medication Therapy Management Pharmacists
- Neonatologists (unless also practicing in a clinic setting)
- Nutritionists
- Occupational Therapists
- Pathologists
- Physical Therapists
- Radiologists (except Radiation Oncologists)
- Registered Dieticians
- Speech Pathologists
Note: This list is subject to change
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The
HealthPartners Credentialing Plan
describes the HealthPartners Credentialing Program. The purpose of the Credentialing Program is to support the systematic approach to credentialing within HealthPartners. Specific objectives of the Plan include:
- Setting forth the criteria to be used in assessing the qualifications of applicants seeking initial or on-going association with HealthPartners.
- Establishing the processes for verification and evaluation of a practitioner's credentials.
- Establishing the processes for action if a practitioner's credentials do not meet the established minimum criteria.
Practitioner's Rights
Under HealthPartners Credentialing Plan, practitioners applying for initial participation or on-going participation have the following rights:
- The right to review the information submitted in support of their credentialing applications.
Practitioners may call the HealthPartners Credentialing Service Bureau at (952) 883-5755 to arrange for a time to review their credentialing file. Practitioners are not allowed to review references or recommendations or other information that is peer review protected or otherwise protected by state or federal law.
- The right to correct erroneous information submitted by other sources.
During the review process, credentialing staff will make note of any substantial discrepancies between the information reported by the practitioner and information obtained through the credentialing process. If a substantial discrepancy is identified, the practitioner is notified in writing of the discrepancy. The practitioner is given the opportunity to submit in writing, within
10 days, any corrections of erroneous information obtained from other sources or explanations for such discrepancies.
- The right to be informed, upon request, of the status of their credentialing or recredentialing application.
Practitioners may call the HealthPartners Credentialing Service Bureau at (952) 883-5755 and ask for the status of their credentialing application.
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