Cigna Recredentialing

To ensure we're providing our customers with the highest network quality, behavioral health care professionals must consistently meet established credentialing standards by being re-credentialed every three years. To ensure network quality, if recredentialing is not completed in a timely manner, the behavioral health care professional's contract may be terminated.

The best way to avoid contract termination and help minimize the effect of any unexpected issues with the recredentialing process is to complete the recredentialing application as early as possible.

However, if the recredentialing process is not completed in time, and the behavioral health care professional is terminated from participation in our network, they have the option to remain non-participating or to reapply to the network.

Reacceptance into our network

For health care professionals who choose to reapply to our network, it's important to note that network reacceptance is not guaranteed. Rather, their reacceptance is contingent on several factors, including the number of current participants, specialties included, geographical need, and compliance history with the recredentialing process.

How behavioral health care professionals are notified of recredentialing

• Behavioral health care professionals are sent two reminder notifications by mail, the first of which is sent six months in advance of their recredentialing due date.
• Three months prior to the due date, behavioral health care professionals are sent a certified letter reminding them of their need to recredential. This notification also includes information about potential termination from the network if recredentialing is not completed in time.

Additional recredentialing information

• Participating behavioral health care professionals are required to re-attest to their Council for Affordable Quality Healthcare (CAQH) profile information every 120 days. This can be done at their website, caqh.org.
• OptumInsight, and its subsidiary Aperture Credentialing, Inc., is the primary source verification company that our behavioral program uses to verify a behavioral health care professional's credentials. OptumInsight and Aperture utilize the information in the behavioral health care professional's CAQH profile to help make credentialing decisions.

For additional information

We encourage behavioral health care professionals to contact a credentialing specialist for questions relating to recredentialing. Please contact the Provider Services Department at 800.926.2273 to obtain a specific credentialing specialist's contact information.

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