Sentara Health Plans credentialing for behavioral health

Checked against our own applications on

Short answer

  • Sentara says its behavioral health network is full in every region and line of business. New requests go on a waiting list.
  • Send a Request for Participation packet by email to Sentara's network recruiting team.
  • Sentara reviews requests in the order received and asks providers not to send status requests. It notifies you.

What to send

  • Sentara's Request for Participation form, filled out for the group (your Type 2 NPI) and region.
  • The group's W-9.
  • A provider roster listing each clinician.
  • A signed Disclosure of Ownership.
  • A signed Offshore Attestation (whether any work is done outside the US).

Email the packet to PrvRecruit@sentara.com and ask to be added to the behavioral health waiting list.

Checking status

We learned this one by trying every route:

  • Provider Services (1-800-648-8420) sends participation questions to the credentialing department.
  • The credentialing line (877-865-9075) is an automated menu. For application status it says to email shpcreddept@sentara.com.
  • Credentialing forwards requests for new participation to Network Management, which runs the waiting list.
  • Network Management confirmed our packet was received and in the queue, and asked us to stop sending status requests because they slow reviews down.

So after you get a confirmation, wait. We check again only after several weeks have passed.

Meanwhile

A closed network can reopen when a plan needs your specialty in your area. In the meantime, join the plans that are open. See Virginia Medicaid credentialing for the other Cardinal Care plans.

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