Credentialing

AmeriHealth Caritas VIP Care, a Medicare Advantage dual-eligible special needs plan (D-SNP), is responsible for the credentialing and recredentialing of its provider network. All providers credentialed by AmeriHealth Caritas VIP Care must also be eligible to enroll with the Medicare program and, as such, must agree to comply with all pertinent Medicare regulations. Providers should also be enrolled in the state Medicaid program.

Getting credentialed

AmeriHealth Caritas VIP Care works with the Council for Affordable Quality Healthcare (CAQH) to offer providers a universal provider datasource that simplifies and streamlines the data collection process for credentialing and recredentialing.

To access information for all the required credentialing documents, in addition to those found in a provider's CAQH record — or for providers who prefer a paper credentialing process — please visit the AmeriHealth Caritas Louisiana plan website’s credentialing page. You may also contact a local Provider Network Management Account Executive for assistance and contracting information.