Get Optima Behavioral Health Credentialing

This comprehensive guide will assist you in accurately completing the Optima Behavioral Health Credentialing form online. Following these step-by-step instructions will ensure that your application is submitted correctly, facilitating your participation as a provider in the Optima Behavioral Health Network.

Follow the steps to fill out the Optima Behavioral Health Credentialing form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in your editing tool.
2. Begin by completing the OBH Application Checklist for CAQH. Ensure all required documentation is included, as any omissions will lead to your application being returned.
3. Fill out the Behavioral Health Provider Information section with accurate details, including your name, license type, license number, and contact information.
4. Provide comprehensive practice location information, ensuring all office addresses and contact details are accurately reported.
5. Complete the Member Matching Information section, detailing your office hours, populations served, treatment categories, and any additional languages spoken.
6. Review and sign the Optima Health Authorization and Release form, acknowledging the conditions of application.
7. If applicable, complete the Cross Coverage Form with details of any covering colleague, submitting it only if there are no partners listed in your CAQH application.
8. Once all sections are accurately filled, check your application for completeness. Prepare to fax the entire packet to the Network Management at the provided numbers.
9. After submitting, await the confirmation of receipt and feedback from Optima. This process typically takes between 60-90 days.

Begin your online application process today to join the Optima Behavioral Health Network.