№ files_lp_4_process_3_134296
Administrative instruction and application checklist outlining the documentation, credentialing requirements, and submission process for therapists applying to participate in the Optum TERM provider network serving San Diego County mental health programs.
Year: Not specified
Region / City: San Diego County, California
Country: United States
Program: Optum TERM Network Mental Health Program
Document Type: Practitioner Application Instructions and Application Checklist
Institution / Agency: Optum Public Sector San Diego in partnership with the County of San Diego Health & Human Services Agency Behavioral Health Services
Related System: San Diego County Mental Health Plan
Provider Role: Therapist
Target Participants: Mental health practitioners seeking inclusion in the TERM Provider Network
Application Components: Credentialing application, W-9 form and verification, professional liability insurance certificate, state identification, professional license, curriculum vitae, writing sample, certifications, attestations
Regulatory / Administrative References: Medi-Cal Fee-for-Service Network requirements and Internal Revenue Service documentation verification
Submission Methods: Mail, fax, or secure email
Contact Point: TERM Provider Line and Provider Services office
Confidentiality Status: Confidential application materials
Recredentialing Cycle: Every 3 years for continuing education and credential verification
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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