District of Columbia
The Contracting and Credentialing Process
Complete the form and we'll let you know if we're accepting new practitioners. This takes up to:
After your documents and paperwork are submitted, we'll let you know if you have passed credentialing. This takes up to:
After passing credentialing, or you are already a participating provider, you'll be configured in our system within:
Required Forms & Documents
To ensure timely processing of your request, please download and submit all forms.
Submit documents to:
firstname.lastname@example.org. Be sure to include the practitioner's name and NPI in all email correspondence.
Applying for participation with a participating group
Applying for participation with a non-participating group
Opening or changing groups
Amending a contract