Get Optima Behavioral Health Provider Credentialing Packet

This guide is designed to assist you in completing the Optima Behavioral Health Provider Credentialing Packet online. Following the outlined steps will ensure that your application is filled out correctly and submitted promptly.

Follow the steps to complete your credentialing packet effectively.

1. Click the 'Get Form' button to access the credentialing packet and open it for your completion.
2. Review the OBH Application Checklist for CAQH before filling out the form. This checklist outlines the required information and documentation to submit your application appropriately.
3. Fill out the Behavioral Health Provider Information section. Provide details such as your name, license type, license number, and practice information. Ensure that all fields are complete, including your Tax ID and NPI number.
4. In the Member Matching Information section, provide your availability and the populations you serve. Be thorough to enhance your visibility for potential client matches.
5. Complete the Authorization and Release section. Carefully review the terms before signing and dating the document, as this is crucial for processing your application.
6. If applicable, fill out the Cross Coverage Form only if you have not listed any partners or associates in your CAQH application. This form confirms coverage in your absence.
7. Review your completed packet carefully, ensuring all required components are included. Send the final version to Network Management via fax to the appropriate number.
8. After submission, wait for the credentialing process to begin, which typically takes 60-90 days. You will receive a contract for review and further instructions upon successful submission.

Begin completing your Optima Behavioral Health Provider Credentialing Packet online today to expedite your application process.