Autism clinics are groups of autism providers who share the same TIN, location, and administrative staff.
- Complete the Evernorth Behavioral Health Screening Application for Autism Clinics
- Evernorth Behavioral Health will respond by email within 20 days after reviewing your application
- Our response will be sent to the email address that you list in the "Primary clinic contracting contact"
- The entire credentialing process typically takes 45-90 days to complete.
- During this time, you’ll also receive emails from us to:
- Confirm your application was received.
- Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
- Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
- Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
- If your clinic has been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
- For more information about joining our network, visit our Frequently Asked Questions.
- To check on your application status, email BehavioralContracting@Evernorth.com
- If you have other questions unrelated to your initial contracting, call Provider Services at 800.926.2273
Facilities
Facilities are hospitals, residential type settings and/or programs that provide partial hospitalization or intensive outpatient services for the treatment of mental health or substance use.
- Complete the Evernorth Behavioral Health Facility Information Form
- Evernorth Behavioral Health will respond by email within 30 days after reviewing your form
- Our response will be sent to the email address that you list on page one of the facility information form
- The entire credentialing process typically takes 45-90 days to complete.
- During this time, you’ll also receive emails from us to:
- Confirm your application was received.
- Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
- Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
- Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
- If your facility has been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
- Please note, as part of our minimum credentialing requirements, facilities must have the following:
A valid state license/certificate/permit for all services/programs that are provided, if applicable
Professional and General Liability insurance with minimum limits of:
- Hospital/Residential Setting: 1 million per occurrence and 3 million aggregate
- Partial Hospitalization and Intensive Outpatient Programs: 1 million per occurrence and 1 million aggregate
Accreditation by one of the follow organizations*:
- The Joint Commission
- Association of Academic Health Centers (AAHC)
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- American Osteopathic Association (AOA)
- Community Health Accreditation Program (CHAP)
- Council on Accreditation (COA)
- DNV GL NIAHO®
* If applicable, accreditation by other organizations may be acceptable.
- To check on the status of your Facility Information Form, email BehavioralFacilityRecruitment@Evernorth.com.
- If you have other questions, call Provider Services at 800.926.2273.