Credentialing is a method to select and evaluate practitioners and facilities based on National Committee for Quality Assurance (NCQA) standards and Colorado Access credentialing criteria. Recredentialing occurs at least every three years. The Colorado Access credentialing process begins after a provider contract is initiated. If you are not contracted and are interested in becoming a provider in our network, please email .
Practitioner applicants must complete the Colorado Health Care Professional Credentials Application. Colorado Access utilizes the Council for Affordable Quality Healthcare (CAQH). This universal credentialing data source is a fast and easy web-based tool that allows practitioners to securely submit their credentialing information to multiple health plans and networks by entering their information just one time. Updated application data can be submitted anytime through the convenience of the Internet or by fax. This simplifies the credentialing effort, reduces paperwork, and saves time for busy practitioners and their office staff members. Best of all, this service is provided at no cost to participating providers.
If you would like to participate with CAQH, please call Colorado Access to be assigned a unique identification number for each practitioner. We will need the practitioner’s full name, degree, date of birth, office address, and phone number. Once in the system, the practitioner creates a user name and password, and can complete the application online.
Click here for the Colorado Health Care Professional Credentials Application (CHCPCA)
Click here for information about the CAQH Universal Credentialing DataSource©
Facilities must complete an application supplied by Colorado Access.
Complete details about the credentialing process and credentialing rights can be found in the provider manual. To locate the provider manuals, go to Health Plan Specific Information section on For Our Providers and click on the appropriate line of business name.