Welcome
In 1994, a team of exercising doctors and a medical center in the southern part of Florida came together to create a modern, service-driven health plan that now provides over 200,000 people in the Los Angeles, San Bernardino and San Paul areas. In 2003, they introduced this idea to Arizona and created Care1st Wellness Strategy Arizona, Inc., which currently provides Maricopa and Pima Areas.
These same doctors lead Care1st Wellness Strategy today and continue to focus on their and our mission:
To be a provider-oriented, managed-care, health proper care company that aims to consistently improve the standard of alternatives delivered to its associates and to give things to look for to both associates and suppliers.
We have been devoted to providing family members in Arizona since our beginning in 2003. We are extremely pleased to help you and your family, and to give you with the standard health proper care alternatives that you are entitled to.
How to Become a Taking aspect Provider
Care1st and ONECare are associates of the Arizona Organization of Wellness Programs (AzAHP) and have fun with the AzAHP Credentialing Partnership whose aim is to create the credentialing and recredentialing procedure easier by lessening replication of initiatives and decreasing management pressure.
The Credentialing Alliance's structured credentialing procedure uses the Authorities for Affordable Top quality Medical care (CAQH) Worldwide Company Datasource for all specialist credentialing programs for all participating plans and a typical paper program for all support credentialing programs. The Credentialing Partnership also uses a typical specialist information type and business information type to gather information necessary for their agreement evaluation procedure and system running specifications.
The Credentialing Partnership uses OptumInsight™/Aperture Credentialing (OptumInsight™) for main source confirmation (PSV) alternatives for the alliance. OptumInsight™ works the PSV once and stocks the results with each participating plan that you approve to get it.
Additional details related to the Credentialing Partnership and some of the benefits you will see from it are detailed below:
A individual time frame that allows one recredentialing procedure to fulfill the recredentialing need for each of the participating plans with which you agreement. That time frame is the first time frame you are set to be recredentialed by any of the participating plans. Following the preliminary alliance recredentialing occasion, your next recredentialing time frame will be set three (3) years out.
For specialist categories that are including a new specialist, you simply finish the typical Practitioner Data Form once and deliver to each of the participating plans your team is shortened with. Experts must also ensure that CAQH is modified and each of the participating plans that you are shortened with are accepted to accessibility your CAQH program.
If you are a new specialist, additional or support, finish the appropriate typical information type (Practitioner or Organizational), once and deliver to the participating plan(s) you wish to agreement with. Facility/ancillary suppliers must also finish the typical support.
Practitioners who are authorized with CAQH are motivated to ensure that CAQH is modified and each of the participating plans that you wish to agreement with is accepted to accessibility your CAQH program.
If you are not currently authorized with CAQH our credentialing team will contact you upon invoice of your Practitioner Data Form and can offer you with a CAQH number and guidelines on how to continue with the next steps of credentialing.
If you are a specialist that needs a website check out within the preliminary credentialing occasion (Primary Care Company or Obstetrician) or something that needs a website check out within the preliminary credentialing occasion (facilities that are not approved or surveyed), the participating plan(s) that you are inquiring to agreement with will have accessibility to any website check out already conducted under the alliance. If a website check out has already been done by another participating plan in the Credentialing Partnership, another website check out will not be necessary. If no website check out has been done by a participating plan in the AzAHP credentialing alliance, only one website check out will be conducted within the preliminary credentialing occasion and made available to all participating plans.
The following health plans have fun with the Credentialing Partnership and follow the procedure defined above
- Care1st Wellness Strategy Arizona, Inc. and ONECare by Care1st Wellness Strategy Arizona, Inc.
- Comprehensive Medical and Dental Program (CMDP)
- Health Choice Arizona
- Mercy Care Plan
- Mercy Maricopa
- Phoenix Wellness Plan
- UnitedHealthcare Group Plan
- The School of Arizona Wellness Plans
- Bridgeway Wellness Solutions
- Health Net Access
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