Credentialing

Your participation with Evernorth Behavioral Health helps us fulfill our mission to improve the health, well-being, and sense of security for the people we serve. Our network providers must treat all covered patients equally and must agree to participate at all service locations (i.e., participation is not limited to specific Tax ID Numbers).

Minimum Credentialing Requirements

Before starting the application process, please review the following credentialing requirements to confirm that you meet the basic guidelines to apply for credentialing:

  1. A license to practice independently (without supervision) in the state in which you are providing services;
  2. Professional liability insurance with minimum limits of:
    • $1 million/$3 million for Physicians and Psychiatric Nurses with prescriptive authority, or
    • $1 million/$1 million for all other providers; exceptions include:
      • Texas: the minimum recommended amount of professional liability coverage for providers in Texas is $200,000 per occurrence and $500,000 aggregate;
      • Florida: the minimum recommended amount of professional liability coverage for providers in Florida is $100,000 per occurrence and $300,000 aggregate;
      • Providers in states which regulate a patient compensation fund for insurance coverage, or which regulate the amount of insurance a provider must carry, should meet at least the state's requirement if they do not meet Evernorth Behavioral Health's minimum requirements.

Providers with federal tort coverage (Federal Tort Coverage Act) do not have to meet Evernorth Behavioral Health's minimum insurance requirements. For those providers, a copy of the federal tort letter or an attestation from the providers stating that he or she has federal tort coverage must be included in the credentialing file.

How to join the Evernorth Behavioral Health network

Individual practitioners (including new providers affiliated with contracted clinics and facilities)

  • Complete the Evernorth Behavioral Health Provider Information Form.
  • Evernorth Behavioral Health will respond by email within 20 business days after reviewing your form.
  • The email will be sent to the email address that you list in the "Contracting/Credentialing" field under the Professional Contact Information section.
  • The entire credentialing process typically takes 45-90 days to complete.
  • During this time, you’ll also receive emails from us to:
    • Confirm your application was received.
    • Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
    • Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
    • Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
    • If you have been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
If you are already contracted with Evernorth Behavioral Health and need to submit demographic changes, please see the Health Care Provider Directory Changes page.

Individual practitioners providing behavioral services at Cigna-participating medical practices:

If you are providing behavioral services at a Cigna-participating medical practice and are not accepting direct referrals from the community, call 1.800.88.Cigna (1.800.882.4462) to apply to the practice’s medical contract.

If you are providing behavioral health services at a Cigna-participating medical practice and are accepting direct referrals from the community, AND/OR you provide behavioral health services outside of the medical practice (e.g. in your own private practice), please apply to join the Evernorth Behavioral Health Network by submitting the Evernorth Behavioral Health Provider Information Form.

If you practice in Maryland, Ohio or Washington:
The Evernorth Behavioral Health Provider Information Form is not required for practitioners who provide services in the states of Maryland, Ohio or Washington. Email us at BehavioralHCPEnrollment@Evernorth.com with your request to participate and include the following information for identification purposes. You will receive a response within 15 business days.

  • First and last name
  • Middle initial
  • CAQH ID# (accepted, but not required for Washington)
  • Tax Identification Number (TIN)
  • National Provider Identifier (NPI)
  • License type (LCSW, LPC, LMFT, MD, LP, etc.)
  • Primary mailing address
  • Service location(s)
  • Phone number (for contracting/credentialing purposes)

If you practice in Minnesota, North Dakota or western Wisconsin:
In these markets, Evernorth's Behavioral Health network represents an alliance between Evernorth and HealthPartners. For contract consideration, complete the HealthPartners Behavioral Health Contract Application available at the HealthPartners Provider portal.

If you practice in Missouri:
For status updates about the credentialing process, email BehavioralContracting@Evernorth.com and include the health care provider's name and TIN.

Clinics

Clinics are groups of behavioral health providers who share the same TIN, location, and administrative staff.
  • Complete the Evernorth Behavioral Health Screening for Clinics Application
  • Evernorth Behavioral Health will respond by email within 20 business days after reviewing your application
  • Our response will be sent to the email address that you list in the "Primary Clinic Contracting Contact"
  • The entire credentialing process typically takes 45-90 days to complete.
  • During this time, you’ll also receive emails from us to:
    • Confirm your application was received.
    • Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
    • Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
    • Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
  • If your clinic has been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
  • For more information about joining our network, visit our Frequently Asked Questions.
  • To check on your application status, email BehavioralContracting@Evernorth.com
  • If you have other questions unrelated to your initial contracting, call Provider Services at 800.926.2273

Autism Clinics

Autism clinics are groups of autism providers who share the same TIN, location, and administrative staff.
  • Complete the Evernorth Behavioral Health Screening Application for Autism Clinics
  • Evernorth Behavioral Health will respond by email within 20 days after reviewing your application
  • Our response will be sent to the email address that you list in the "Primary clinic contracting contact"
  • The entire credentialing process typically takes 45-90 days to complete.
  • During this time, you’ll also receive emails from us to:
    • Confirm your application was received.
    • Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
    • Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
    • Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
  • If your clinic has been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
  • For more information about joining our network, visit our Frequently Asked Questions.
  • To check on your application status, email BehavioralContracting@Evernorth.com
  • If you have other questions unrelated to your initial contracting, call Provider Services at 800.926.2273

Facilities

Facilities are hospitals, residential type settings and/or programs that provide partial hospitalization or intensive outpatient services for the treatment of mental health or substance use.

  • Complete the Evernorth Behavioral Health Facility Information Form
  • Evernorth Behavioral Health will respond by email within 30 days after reviewing your form
  • Our response will be sent to the email address that you list on page one of the facility information form
  • The entire credentialing process typically takes 45-90 days to complete.
  • During this time, you’ll also receive emails from us to:
    • Confirm your application was received.
    • Request any missing documentation or application information. If we do not receive missing information, we’ll send you an email notification that we closed your application.
    • Keep you updated on where your application is in our credentialing verification process, including any delays that may cause the credentialing process to extend past the standard 45- to 90-day turnaround time.
    • Confirm you have been approved and credentialed as a network-participating provider with your effective date, or notify you that you have not been approved
  • If your facility has been approved, we will upload your provider information into our directories and claim systems which typically happens within 10 business days.
  • Please note, as part of our minimum credentialing requirements, facilities must have the following:
    1. A valid state license/certificate/permit for all services/programs that are provided, if applicable
    2. Professional and General Liability insurance with minimum limits of:
      • Hospital/Residential Setting: 1 million per occurrence and 3 million aggregate
      • Partial Hospitalization and Intensive Outpatient Programs: 1 million per occurrence and 1 million aggregate
    3. Accreditation by one of the follow organizations*:
      • The Joint Commission
      • Association of Academic Health Centers (AAHC)
      • Commission on Accreditation of Rehabilitation Facilities (CARF)
      • American Osteopathic Association (AOA)
      • Community Health Accreditation Program (CHAP)
      • Council on Accreditation (COA)
      • DNV GL NIAHO®
* If applicable, accreditation by other organizations may be acceptable.

Additional resources