Credentialing Criteria by Provider Type

Download the criteria pertaining to your expertise and licensing here.

See also:

• Radiology quality assessment requirements
• Requirements for Organizational Providers

Requirements by provider type

• Physician (42KB PDF)
• Nurse Practitioner, Rural/Underserved Area (39KB PDF)
• Physician Assistant, Rural/Underserved Area (38KB PDF)
• Chiropractor (28KB PDF)
• Optometrist (30KB PDF)
• Certified Nurse Midwife (45KB PDF)
• Psychologist: PhD, PsyD, EdD (27KB PDF)
• Limited Licensed Psychologist (LLP) (27KB PDF)
• Certified Social Worker (MSW, CSW) (27KB PDF)
• Licensed Professional Counselor (LPC) (27KB PDF)
• Substance Abuse Treatment Provider (29KB PDF)
• Neuropsychologist (28KB PDF)
• Biofeedback Practitioner (27KB PDF)
• Sleep Medicine Practitioner (27KB PDF)
• Clinical Hypnosis Practitioner (28KB PDF)
• Organizational Provider (23KB PDF): Ambulance, Audiology, DME, Hearing Aid Dealer, Home Infusion, Hospice,
  Laboratory, Prosthetics & Orthotics, Radiology/Imaging Center, Rehabilitation, Urgent Care/Retail-Based Clinic; also see the Requirements for Organizational Providers chart.
  
• Freestanding Ambulatory Surgery Facility (ASF) (36KB PDF); also see the Requirements  for Organizational Providers chart.
• Behavioral Health Facilities (37KB PDF); also see the Requirements for Organizational Providers chart.
  
• Hospital, Home Health Facility, Skilled Nursing Facility (SNF) (22KB PDF); also see the Requirements for Organizational Providers chart.
  
• Independent Sleep Disorders Center (23KB PDF); also see the Requirements for Organizational Providers chart.
  

You'll need Adobe® Reader software to view and print PDF files. Download it free now!