Get Mahp Credentialing Application - Total Health Care

The MAHP Credentialing Application - Total Health Care is essential for practitioners seeking affiliation with the Michigan Association of Health Plans. This guide provides comprehensive instructions for completing the application online, ensuring that all required information is accurately submitted.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to obtain the MAHP Credentialing Application - Total Health Care and open it in your preferred document editor.
2. Begin by filling out your personal information, including your name, degree, and contact details. Ensure that all names and addresses are current and accurate.
3. Proceed to the practice specialty section. Indicate the specialty for which you are applying, and any additional medical interests.
4. Complete the primary office practice information. This includes the type of practice, health plans accepted, and contact information for your office.
5. Fill in details related to hospital affiliations and other coverage by listing practitioners who will cover your practice when you're unavailable.
6. Document your medical and professional school history, including schools attended, degrees awarded, and dates of graduation.
7. List your work history chronologically since your postgraduate training, including explanations for any gaps in your employment.
8. Provide current licensure details, including your Michigan medical license number and expiration dates of any relevant certifications.
9. Fill out the references section by listing three professional contacts who can verify your work, excluding relatives.
10. Answer questions related to professional liabilities, claims history, and health status truthfully, as these are essential for the credentialing process.
11. Finally, review all completed sections and ensure each part is accurately filled out. Once satisfied, save your changes, download the application, and prepare your documents for submission.

Begin your MAHP Credentialing Application - Total Health Care online today and ensure you meet all requirements for affiliation.