Care1st Credentialing Department

We Check Credentials, Then We Re-check Them

Care1st's Credentialing Department ensures that all contracted providers are adequately trained and appropriately licensed by their governing boards. Care1st adheres to NCQA standards to evaluate our providers in our network. This critical process evaluates providers’ training, their experience, and any licensing or sanction activities. They also carefully monitor the quality of care provided to our members.

Who We Credential

Care1st currently credentials and recredentials the following licensed independent practitioners:

  • Medical Doctors (MD)
  • Osteopathic Doctors (DO/DOM)
  • Dentists (DDS)
  • Podiatrists (DPM)
  • Optometrists (OD)
  • Psychologists
  • Audiologists
  • Chiropractors (DC)
  • Nurse Practitioners (NP)
  • Physicians Assistants (PA)
  • Nurse Midwives (NMW)

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 the ultimate responsibility and authority for all credentialing activities.