Credentialing information and policies

Last updated: Sept. 30, 2022

 

For questions or more information, please reach out to creds@foresightmentalhealth.com

Application required information

In accordance with our Initial Credentialing Policy and Procedure, a completed application for credentialing and recredentialing purposes includes: a complete and accurate CAQH application, re-attested within the last 90 days, including all supporting documentation including, but not limited to explanation of any affirmative responses including malpractice suits, an explanation of any work history gaps over 6 months. The provider is obliged to provide Foresight with information sufficiently detailed to render an opinion regarding any affirmative response (CR-01 and CR-01A). 

Checklist of items needed for the credentialing process
  • Copy of CV

    • Needs to be current

    • In mm/yyyy formatting

    • Any gaps for six months or longer needs to have an attached written explanation

  • CAQH Authorization Form

  • CAQH Profile, completed and attested

  • Additional documents may be requested as required by each state’s regulations and laws 

 

More information about the credentialing process and frequently asked questions can be found in our FAQ document.

Minimum qualification standards

  • A completed application

  • License to practice in applicable state 

  • Valid DEA, as applicable 

  • Applicable education and training

  • Board certification as applicable

 

Foresight is prohibited from including in its network any applicant who:

  • Is currently sanctioned or prohibited from participation in federal health care programs under either Section 1128 or Section 1128A of the Social Security Act; or

  • Has a current licensure suspension by any state licensing board; or

  • Is included on any of OFAC’s sanction lists.

Policies and procedures