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Credentialing

Become a Participating Provider

In order to provide services to AmeriHealth Caritas Pennsylvania members as a participating provider, practitioners must:

  1. Be credentialed by AmeriHealth Caritas (1-800-642-3510, option 2)
  2. Sign a Participating Provider Agreement (contract) (1-866-546-7972)

Contracting

If you are not currently contracted with AmeriHealth Caritas and are not joining a group already in our network, please call 1-866-546-7972 to discuss obtaining the appropriate AmeriHealth Caritas Provider Agreement.

Note: The credentialing process and contracting process can occur simultaneously.


Credentialing

AmeriHealth Caritas maintains and adheres to all applicable state and federal standards and regulations, Department of Human Services (DHS) requirements, and accreditation requirements governing credentialing and re-credentialing functions. Call 1-800-642-3510, option 2 for more information.

The following types of practitioners require credentialing and re-credentialing:

  • Allied Health Providers (Physical Therapists, Occupational Therapists, Speech Therapists)
  • Audiologist
  • Certified Nurse Midwife
  • Certified Registered Nurse Practitioner
  • Chiropractor
  • Dentist
  • Oral Surgeon
  • Physicians (DOs and MDs)
  • Podiatrist
  • Registered Dietician

Select a credentialing process

Additional information