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Buckeye Health Plan Behavioral Health FacilityAgency free printable template

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Behavioral Health Facility/Agency Credentialing ApplicationINSTRUCTIONSPlease complete the application thoroughly in its entirety complete the credentialing process. Return by email to OhioContracting
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How to fill out Buckeye Health Plan Behavioral Health Facility/Agency Credentialing

01
Gather all necessary documentation, including licenses and certifications.
02
Complete the application form provided by Buckeye Health Plan.
03
Provide detailed information about the facility's services and practices.
04
Submit proof of insurance and liability coverage.
05
Ensure all staff members have updated credentials and background checks.
06
Send the application and required documents to Buckeye Health Plan for review.
07
Respond promptly to any follow-up questions or requests for additional information from Buckeye.

Who needs Buckeye Health Plan Behavioral Health Facility/Agency Credentialing?

01
Behavioral health facilities and agencies wishing to provide services under Buckeye Health Plan.
02
Organizations looking to be reimbursed for behavioral health services through Buckeye.
03
Clinics that have qualified healthcare professionals offering mental health services.
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Buckeye Health Plan Behavioral Health Facility/Agency Credentialing is a process by which healthcare facilities and agencies that provide behavioral health services are evaluated and verified by Buckeye Health Plan to ensure they meet the necessary standards and qualifications for providing care.
All behavioral health facilities and agencies seeking to participate in Buckeye Health Plan's network or provide services to its members are required to file for credentialing.
To fill out the Buckeye Health Plan Behavioral Health Facility/Agency Credentialing application, providers must complete the required forms accurately, provide necessary documentation, and submit the application to Buckeye Health Plan for review.
The purpose of Buckeye Health Plan Behavioral Health Facility/Agency Credentialing is to ensure that all facilities and agencies providing behavioral health services meet quality standards and are appropriately licensed, certified, and qualified to deliver care.
The information that must be reported on the Buckeye Health Plan Behavioral Health Facility/Agency Credentialing includes facility details, licensing information, staff qualifications, types of services offered, and any relevant legal or financial disclosures.
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