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APPLICATION FOR INITIAL CREDENTIALING for
ALLIED HEALTH PROFESSIONALS (HP)
to the OhioHealth Clinically Integrated Network (IN)
** The HP applicant must be employed by a physician/practice currently
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How to fill out ahp provider participation request
How to fill out ahp provider participation request
01
Contact the AHP administrator for the provider participation request form.
02
Fill out all required fields on the form accurately and completely.
03
Submit the completed form to the AHP administrator for review and approval.
Who needs ahp provider participation request?
01
Healthcare providers who wish to participate in an AHP (Association Health Plan) need to fill out a provider participation request.
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What is ahp provider participation request?
Ahp provider participation request is a formal request submitted by healthcare providers to participate in an Affordable Housing Program (AHP) to provide services to eligible individuals.
Who is required to file ahp provider participation request?
Healthcare providers who wish to participate in an AHP are required to file a provider participation request.
How to fill out ahp provider participation request?
The ahp provider participation request can be filled out online through the AHP website by providing accurate and detailed information about the healthcare provider and the services they offer.
What is the purpose of ahp provider participation request?
The purpose of ahp provider participation request is to allow healthcare providers to become eligible to participate in an Affordable Housing Program and provide services to individuals in need.
What information must be reported on ahp provider participation request?
The ahp provider participation request must include information such as the healthcare provider's contact information, services offered, qualifications, and any other relevant details.
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