Join the Network
University of Michigan Health Plan is no longer accepting all applications for credentialing due to the planned wind down of our Plan. We are reviewing and prioritizing applications based on network need. The following may apply:
If you or your Tax ID is not currently contracted with UofM Health Plan, we will not be proceeding with your application or extending a contract.
If you or your Tax ID is currently contracted with UofM Health Plan, your request will be reviewed and prioritized based on network need.
To Join the Network
UM Health Plan requires individual applicants to complete the New Provider Request Form and the Council for Affordable Quality Healthcare (CAQH) credentialing application. Facility applicants should complete the HAAP Ancillary Provider Application in the Forms section of this website.
The following documentation and information is collected:
- New Provider Request Form
- Participation Agreement
- CAQH application ID
- Signed attestation
- Identification and documentation explaining gaps in work history (if more than three months)
- Signed release of information
- Signed W-9
- Collaborative Agreement between applicant and physician (if applicable)
- Documentation of medical education and training
- Copy of DEA and controlled substance license (if applicable)
- Copy of license
- Copy of malpractice insurance, including effective and expiration dates, dollar amount and name of the insurance company
- Identification of participating hospitals in which provider has clinical staff privileges and primary admitting facility
- Explanation of any malpractice issues
Many steps are required in the application review, and we value your cooperation during this process. We are obligated to maintain a consistent procedure with each applicant, and our policy does not allow us to authorize services prior to approval by the Credentialing and Peer Review Committee. This is to ensure the quality of the services we provide, as well as to fulfill our responsibility to our Members.
Please note that applicants have the right to:
- Review information submitted to support their credentialing application
- Correct erroneous information
- Receive the status of their credentialing or recredentialing application upon request
