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         Get listed on our new award-winning consumer-site, http://MyLifestyle.guru



 iHealth Partners Network providers benefit from first-class service

Our mission is to be the lifestyle healthcare partner of choice for individuals and organizations working to improve the lives of children, adults and families.  We value our network providers and realize that your time is best spent with members—not with an excess of administrative tasks.
iHPNetwork offers many solutions to save you valuable time and resources, including:

  • Innovative provider service (see Lifestyle Provider Solutions )
  • Increased referrals
  • Access to free, online resources (including complementary CE courses)
  • Clinical support tools
  • Simplified credentialing
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To be eligible for referrals, iHealth Partners Network providers are required to successfully complete the credentialing review and contracting process.
Credentialing Process
iHealth Partners Network is committed to promoting quality care for its members. In support of this commitment, practitioners must meet a minimum set of credentialing criteria in order to be able to provide services to our members as in-network providers.

To be eligible for referrals, iHealth Partners Network providers must successfully complete the credentialing review process prior to being accepted as a network provider. We credential providers in accordance with our credentialing criteria and in accordance with specific criteria required by applicable regulatory agencies and/or client companies.

iHealth Partners Network participates in CAQH®, which offers ProView™ for online data collection, to help providers reduce the amount of administration and paperwork involved in credentialing and re-credentialing.

Professional Provider Selection Criteria

  1. All professionals must hold a current license/certificate in their specialty at the highest level in the state in which they practice. Licensure must be for independent practice and vendor eligible (if applicable). License must be current, active and have no board actions or sanction, restriction, probation or other terms, conditions and/or limitations.
  2. Lifestyle practitioners must carry minimum professional and general liability insurance coverage of $1 million per occurrence and $3 million aggregate. Required professional and general liability coverage for all other health care professionals is$1 million per occurrence and $1 million aggregate. (Required coverage levels may vary depending on local requirements).
  3. It is preferred that professionals hold membership in a national professional association which ascribes to a professional code of ethics (such as American College of Lifestyle Medicine, Holistic Nurses Association, IDEA Health & Fitness Association,  International Sports Sciences Association, American Massage Therapy Association.)

What You Need to Know About Credentialing and Contracting 

To clarify the process of becoming a iHealth Partners  in-network provider, we’ve answered some of the most frequently asked questions we receive about credentialing and contracting. This information is a general guideline for solo practitioners.

Q. How can I obtain a IHPNetwork provider network application?  (WE ARE NOT CURRENTLY ACCEPTING NEW PROVIDERS - You may however, purchase our subscription-based icloud platform for Diabetes Prevention  and be listed on our new consumer-site, http://MyLifestyle.guru)

A. Navigate to http://ihpn.online/lifestyle-provider-application and click onthe link  Online Practitioner Enrollment (OPE) tool, ” and follow the instructions for Magellan’s network inclusion screening process.  Be prepared with the following information since you will not be able to save or return to complete the application process: NPI number if applicable and Three Professional References with name, address, email and phone . If during the process, you have any questions you can email our provider relations team at [email protected] 
Q. What do I have to do to be an in-network provider with iHPNetwork
A To be an in-network provider, you must be contracted with iHPNetwork. Prior to contract execution, iHPNetwork ensures that practitioners meet credentialing criteria and are approved by IHPNetwork's RNCC (Regional Network and Credentialing Committee).

Q. What do I have to do to be a recognized provider of the CDC Diabetes Prevention Program ?
A  First, you must be contracted with iHPNetwork. Prior to contract execution, iHPNetwork ensures that practitioners meet credentialing criteria and are approved by IHPNetwork's RNCC (Regional Network and Credentialing Committee). Second, you must complete the CDC Curriculum Training. 

Q. What is credentialing?
A. Credentialing is the process of reviewing, verifying, and periodically re-verifying your professional credentials in conjunction with Magellan’s credentialing criteria. 

Q. What does the credentialing process include?
The credentialing process includes, but is not limited to:
  • Application Review – We confirm that you have completed all portions of the application and have submitted all required supporting documents.
  • Credentials Verification – We verify information including, but not limited to the status of your license, malpractice insurance coverage, education and training using criteria defined to meet accreditation, regulatory and client-specified requirements.
  • RNCC Review – If your credentials meet minimum standards, your application is sent  to a Regional Network and Credentialing Committee (RNCC) consisting of iHPNetwork clinical staff and professional peers. The RNCC reviews applications subject to our business needs and in accordance with applicable state law.

Q. How long does the credentialing process take?
A. Once all the required documents have been submitted, the credentialing process generally can be completed within 90 days. However, some states and client contracts require a shorter credentialing time and we have processes in place to help meet those requirements.  

Q. How long before I can start getting reimbursements from health insurance plans?
A.  You will need to contract with each health plan as an individual provider or through our network.  Each plan has it's own contracts and credentialing process which typically take 120 days each.   We recommend that until you have acheived this that you submit superbills to your client/patients so that they can submit them for reimbursement.

Q. Can I start the CDC Curriculum Training  prior to approval?  
A.  Yes, you can pay the current network fee to begin the training.  If for some reason you are not accepted as a provider, you will receive a refund, minus the  current training fee.  (fees are subject to change - please contact our enrollment team for current fee structures).

Q. How will I be notified if I am accepted into the iHealth Partnes Network?
A. Once contractual requirements including meeting Magellan’s credentialing criteria have been met, iHPNetwork will execute your provider agreement and send you a letter welcoming you to the iHealth Partners provider network.

Q. Will I be notified if I am not accepted into the iHealth Partners provider networks?
A. Yes. You will receive a letter explaining why your application could not be accepted, along with instructions on how to appeal the decision.

Q. Once I’ve completed credentialing, are my credentials good for the life of my contract?
A. No. As a condition of continued participation as a iHPNetwork provider, iHPNetwork recredentials providers no less than every three years. This process supports maintaining provider network quality.

Q. What is the iHealth Partners Network Provider Participation Agreement?
A. Your iHPNetwork Provider Participation Agreement is a contract between you and iHPNetwork to render lifestyle/behavior change health care services in accordance with its terms to members whose care is managed by iHealth Partners Network.

Q. If I sign the iHealth Partners Network Participation Agreement, will I be eligible to see all members whose lifestyle health care is managed by iHPNetwork?
A. Not necessarily. You must meet iHPNetwork contractual requirements, including approval by iHPNetwork’s RNCC, to be eligible to treat iHPNetwork members. Some of the products iHPNetwork offers and some of the client companies we serve require specific provider credentials and additional contracting documentation.