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Credentialing & Contracting Process

We are excited to partner 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.

Request for Credentialing

Step 1:
Complete and submit the Provider Participation Request.

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 2:  
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. Note that:

  • 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 3:
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.  

If you do not have a CAQH number, follow these steps to register: 

  1. Visit the CAQH registration site (or the ADA online portal for dental providers). 
  2. Complete the provider registration to obtain username and password. 
  3. Receive your CAQH ID number by logging in and completing your profile.

NOTE: An active license in the state(s) where you practice is a requirement for credentialing and network participation. 

Contracting Process

Step 1.
Select Health will send you the Participating Provider Services Agreement (PPSA) as soon as your credentialing review has been completed.

Step 2.
Review, sign, and send the PPSA back to us. Select Health will return an executed copy of the PPSA and a Welcome Letter that include links to provider online resources and how to contact your Provider Relations representative.

Step 3.
Verify that your information is correct in our online Provider Directory. Allow up to 4 weeks for your listing to appear. Should there be an error in your listing, please advise us by emailing provider.development@selecthealth.org.  

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.