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Credentialing and enrollment

If you are not already contracted:

Before credentialing can begin, you must be a contracted provider or have been offered a contract.

Provider Data Profiles is an easy way to manage all your locations and practitioners:

Contracted provider groups can make additions and updates to location and practitioner listings using the online Provider Data Profiles application. This tool offers very specific profile information you can review, add, and update:

  • Locations: addresses, appointment phone numbers, services, hours, and more
  • Practitioner: credentialed information, specialties, personal profiles, affiliated clinics and hospitals and more
  • Make your changes online and save them as a PDF to submit to other parties!

Sign in to manage your profiles. If you don’t have a Provider portal user account or the Provider Data Profiles application, contact your delegate.


When a practitioner joins a HealthPartners contracted clinic, the practitioner or clinic must submit a credentialing application.

Medical provider applications:

Medical and Behavioral Health: Minnesota Uniform Credentialing Application
Medication Therapy Management Pharmacists:MTM Credentialing Application

Medical application submissions:

  • ApplySmartTM system
    Complete your application and submit in one easy step using the ApplySmartTM system. All MN-based medical clinics are required to use ApplySmartTM for submission of initial credentialing applications. Clinics in other states may also use ApplySmartTM.

  • Online credentialing application submission - Alternate option is to submit online through HealthPartners provider portal.

Dental provider application:

Initial Dental Credentialing Application

Dental application submission options:

Alternate options:

It is recommended that an application be submitted at least 90 days prior to employment date. 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.

Add or change currently credentialed practitioner to a new clinic. Options include:

Check if a practitioner is currently credentialed with HealthPartners:

How to enroll non-credentialed practitioner types?

Do I need to inform HealthPartners if I leave my clinic?

It is imperative that HealthPartners be notified when a practitioner leaves a contracted clinic.

It is recommended to use secured, encrypted email service to send private and protected information via email.

 

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.

 

Practitioners will receive written notification once their application has been approved.

You can check if a practitioner has been approved by:

 
Additional contact information
HealthPartners Credentialing Service Bureau

Email: Credentialing


Mailstop 22205C
P.O. Box 1309
Minneapolis, MN 55440-1309
Phone (952) 883-5755
 

Practitioner Types Credentialed by HealthPartners

Practitioner Type/Title
Practitioner Type/Title Explanation
ADT
Advanced Dental Therapist
APRN
Advanced Practice Registered Nurse
(all Nurse Practitioner types including Certified Registered Nurse Anesthetists (CRNA) practicing pain medicine in a clinic setting only)
BCBA
Board Certified Behavioral Analyst (WI, ND, SD and IA Only)
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)
CSAC
Clinical Substance Abuse Counselor (Must also be IndCS or INTCS)
CSW-PIP
Clinical Social Worker in Private Independent Practice (SD only)
DDS
Dentist
DMD
Dentist
DO
Doctor of Osteopathy
DPM
Doctor of Podiatric Medicine
DT
Dental Therapist
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 & SD only)
LADC
Licensed Alcohol and Drug Counselor
LCPC
Licensed Clinical Professional Counselor (IL only)
LCSW
Licensed Clinical Social Worker (WI and ND only)
LICSW
Licensed Independent Clinical Social Worker
LISW
Licensed Independent Social Worker (IA only)
LMFT
Licensed Marriage and Family Therapist
LMHC
Licensed Mental Health Counselor
LP
Licensed Psychologist
LPC
Licensed Professional Counselor (Must be able to practice independently)
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
MTM (PharmD, RPH)
Medication Therapy Management Pharmacist
MD
Physician
NP
Nurse Practitioner
OD
Doctor of Optometry
PA-C
Physician Assistant Certified

Note: This list is subject to change

Non-Credentialed Practitioners

HealthPartners does not credential the following practitioner types, but they may need to be enrolled. See the "About Credentialing" Tab for further information.

  • Acupuncturists
  • Anesthesiologists (unless practicing pain management in a clinic setting)
  • Audiologist
  • Certified Genetic Counselors
  • Certified Registered Nurse Anesthetists
  • Certified Registered Nurse First Assistants
  • Critical Care Medicine (unless also practicing in a clinic setting)
  • Critical Care Surgery
  • Dental Therapists
  • Pediatric Critical Care
  • ER Practitioners (unless also practicing in a clinic setting)
  • Interpreters
  • Neonatologists (unless also practicing in a clinic setting)
  • Neonatal Nurse Practitioners (unless also practicing in a clinic setting)
  • Nutritionists
  • Occupational Therapists
  • Hospital-based OB/Gyn (contracted only to cover L&D call schedule)
  • Pathologists
  • Physical Therapists
  • Radiologists (except Radiation Oncologists)
  • Registered Dieticians
  • Registered Nurse
  • Speech Pathologists

Note: This list is subject to change

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:

  1. 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.
  2. 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.
  3. 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.