Get Started.

We are excited to work with you to help Select Health members live the healthiest lives possible. For Credentialing, Select Health uses the Council for Affordable Quality Healthcare (CAQH) and will work with you throughout the credentialing process for Select Health networks. The Credentialing Process involves these steps:

Step One.

Complete and send the Provider Participation Request to practitionercontracting@selecthealth.org. 
Be sure to include your CAQH ID number. If you need to update your existing CAQH profile or create a new profile, follow the CAQH Profile Instructions below.  
*NOTE: Failure to create/review/update your CAQH profile as needed and attest to all relevant data will delay credentialing and contracting.

Step Two.

The Select Health Credentialing Committee reviews your Provider Participation Request and CAQH data. Once we receive confirmation from CAQH that your profile is updated and complete, we will request, download, and review the data from CAQH and submit the credentialing file for approval by the Select Health Credentialing Committee.

  • You can request information on the status of your application.  
    • You have the right to review your credentialing application, including any information obtained from any outside source, except for references, recommendations, or other peer reviewed-protected information.  
    • We will notify you of any issues that may be identified, such as discrepancies or other issues with the information you provided, and you have the right to correct erroneous information.  
    • You will be notified of any problems in obtaining the required verifications.

Step Three.

Select Health notifies you directly of credentialing decisions via the email provided for each applicant in their CAQH profile. Please ensure that there is an email address for each applicant. 

 

Provider Specific Credentialing Requirements

For credentialing requirements related to your state of practice, please contact practitionercontracting@selecthealth.org.

Meet credentialing criteria, obtain PPSC approval as required**, and have privileges at an Intermountain Health hospital or other Select Health-contracted hospital near the provider's practice. ***

** The Select Health Practitioner Panel Strategy Committee (PPSC) makes day-to-day network participation decisions for all networks, with the exception of the Select Health Choice® and Select Health Care® networks.

*** If a provider has multiple practice locations, the provider must hold Active/Active Referral hospital privileges at one or more these facilities.

  • Credentialing Committee approval* and Practitioner Panel Strategy Committee (PPSC) approval as required**; government plan requirements include:
  • For Select Health Advantage Medicare plan: Must be an eligible CMS provider type and enrolled as a Medicare provider. (CMS recognizes MD/DO, APRN, PHD, & LCSW.)
  • For Integrated Select Health Community Care plan: Must be enrolled as a Medicaid provider with Utah State Medicaid through the PRISM system.
  • For Select Health CHIP (Utah Children's Health Insurance Plan): must be enrolled as a "known provider" with Utah State Medicaid through the PRISM system.

For any change of address or affiliation:

  • PPSC approval (see above).

    * Eligibility requires the provider to hold an active Utah State license and meet Select Health credentialing criteria as specified in the Provider Reference Manual.

    ** The Select Health Practitioner Panel Strategy Committee (PPSC) makes day-to-day network participation decisions for all networks, with the exception of the Select Health Choice® and Select Health Care® networks.