If you are interested in joining our network as a contracted provider, you can begin by submitting a Letter of Interest form. If approved, we will mail you a Provider Network Agreement form, along with credentialing information within a few weeks of receiving your submittal.
If you need assistance completing your Letter of Interest form or have questions about your Provider Network Agreement, please contact CCHP Provider Relations Representative Tina Thomas by email at firstname.lastname@example.org.
Please allow 30 days for review of your letter of interest.
Our credentialing process
All fully licensed practitioners must go through the credentialing process upon notification that their Letter of Interest has been received and approved — whether they’re in the process of contracting with Children’s Community Health Plan or are already contracted and adding staff.
For BadgerCare Plus providers
If you would like to become a contracted BadgerCare Plus provider with CCHP, please complete the Letter of Interest first and review our credentialing instructions on how to submit an application. We only accept applicants who are Medicaid certified.
For Together with Children’s Community Health Plan providers
If you would like to become a contracted provider with Together with CCHP, please complete the Letter of Interest Form for Together with CCHP first and review our credentialing instructions on how to submit an application.
Apply using the Council for Affordable Healthcare's (CAQH) ProView™ database. See complete instructions for CAQH application on our provider credentialing page.
Children’s Community Health Plan will respond to your request within 60 days. We look forward to working with you!