Joining our Network, Credentialing, Recredentialing, and Linkage Requests

Interested in Joining our Network?

We welcome physicians to apply to join our Health Partners (Medicaid), Health Partners Medicare, and/or KidzPartners (CHIP) networks as a Primary Care, Specialist, or Hospital-based provider.

Please submit our online provider information form to start the process. A Health Partners Plans representative will contact you within 3 days of your submission to guide you through our streamlined application process.

Current Network Providers

Health Partners Plans (HPP) uses the Council for Affordable Quality Healthcare (CAQH) system for credentialing and recredentialing our providers. Visit the CAQH website to register or log in to the CAQH Universal Provider Datasource to ensure that your application is up-to-date.

Credentialing

Currently participating groups that wish to have an individual provider credentialed by HPP must submit the documents listed below. While we make every attempt to complete each application within 60 days of receipt, that timeline is largely dependent upon the provider submitting all required documentation timely and accurately. If you have questions about the credentialing process, please email our Credentialing department at credentialing@hpplans.com.

Individual providers

• Provider Data Collection Form
• CAQH Application
• W-9 Form (available on the IRS website)
• HPP Admitting Hospital Privileges/Covering Arrangement Attestation Form

Submit completed credentialing documents via:

• Email: credentialing@hpplans.com
• Fax: 215-967-4473

Hospital-based providers

• Hospital-based Practitioner Profile

Submit completed hospital-based credentialing documents via:

• Email: providerdata@hpplans.com
• Fax: 215-967-9274

Recredentialing

Individual providers are recredentialed every three years. Our credentialing department will send notification to your office three months before the recredentialing process will begin. You will need to submit the following documents and update your CAQH application.

• Provider Data Collection Form
• HPP Admitting Hospital Privileges/Covering Arrangement Attestation Form

Submit completed recredentialing documents via:

• Email: credentialing@hpplans.com
• Fax: 215-967-4473

Linkage Requests

Participating provider groups that would like to link an actively participating provider should submit a linkage request on company letterhead. Your signed “linkage request” letter on company letterhead will need to include the following:

• Group Name
• Group NPI
• Individual NPI
• Tax ID
• Effective date of the linkage
• Complete address (including phone/fax number)
• Contact information

If additional information is required, e.g., a site visit, then an HPP representative will contact you.

Instructions for mailing completed documents

If you prefer to mail your credentialing, recredentialing, or linkage request documentation to HPP instead of submitting them via email or fax, please use the address below:

Attn: Credentialing
Health Partners Plans
901 Market Street, Suite 500
Philadelphia, PA 19107