Practitioner credentialing

Practitioner credentialing

Practitioner types that do not require credentialing

The following do NOT require credentialing. You can register with us by completing the Practitioner add/term/change form.

• Audiologist
• Certified registered nurse anesthetist (CRNA)
• Community health worker (CHW)
• Diagnostic radiologist
• Hospitalist
• Licensed dietician (LD)
• Occupation therapist (OT)
• Physical therapist (PT)
• Speech language pathologist (SLP)

Initial credentialing

Practitioners must be credentialed to participate in our network BEFORE they provide care to members, submit claims or are listed in any member materials or provider directories. Practitioner credentialing is required if a provider or facility is contracted or in the process of contracting with us.

Initial credentialing is necessary if:

• The practitioner is new to our network. 
• The practitioner had a network participation break that is more than 30 days. 
• The practitioner did not re-credential in a timely manner. 
• The practitioner is no longer affiliated with a Hennepin Health delegate.  
• The practitioner is listed as a provider type requiring credentialing with us (refer to “Acceptance of practitioners” within the Credentialing section of the Provider Manual).  

Start the process

Allow 45 days for processing.

1. Fill out the Practitioner initial credentialing application (PDF, 3MB). 
2. Submit the form to Minnesota Credentialing Collaborative or via email to hhcredentialing@hennepin.us, or fax to 612-677-6264.

You must submit:

• The completed application
• A certificate of insurance stating the dates of coverage. Minimum coverage limits must be $1 million per occurrence and $3 million aggregate.
• A copy of your current DEA license, if applicable.

For initial credentialing, make sure your application is complete. Some common things that prevent us from processing an application are:

• An incomplete disclosure questionnaire.
• An attestation page that does not list Hennepin Health as the entity.
• An incomplete or missing explanation for gaps of employment greater than 90 days.
• An explanation if the practitioner does not have active hospital admitting privileges.
• Missing or expired malpractice insurance.
• Missing a copy of the current DEA license.

To check the status of your credentialing application, email hhcredentialing@hennepin.us or call the credentialing line at 612-543-5299.

Update your record

Use the Practitioner add/term/change form to:

• Add, change or terminate a practitioner 
• Add, terminate or change a location

If making multiple changes, use the Location and practitioner roster. Submit the completed form to hhcredentialing@hennepin.us.

Update your tax ID or NPI by completing the Location add/change form (PDF, 2MB). 

Recredentialing

We require practitioner recredentialing every 36 months. The recredential process AND approval by the Credentialing Committee must be completed by the last day of your due month in order to remain in good standing.

We notify practitioners to recredential 180 days before their due date.

What to do

1. Fill out the Practitioner recredentialing application (PDF, 2MB).
2. Email the completed form to hhcredentialing@hennepin.us.