Care1st’s Credentialing Department ensures that all contracted providers are adequately trained and appropriately licensed. Care1st adheres to NCQA standards to evaluate its providers in the network. This process evaluates providers’ training, experience, any licensing, sanction activities, and the quality of care provided to our members.

Who we Credential
Care1st currently credentials and recredentials the following licensed independent practitioners:

Who we don't Credential
Care1st does not credential hospital-based practitioners, i.e., anesthesiologists, Emergency Medicine physicians, pathologists and radiologists, who see Care1st members solely as patients of the hospital. Care1st does delegate Credentialing functions to contracted IPA/MSOs but retains ultimate responsibility and authority for all credentialing activities.