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Provider Application

NEW — Effective February 1, 2009, the Missouri Department of Insurance requires all healthcare providers to utilize the Council for Affordable Quality Healthcare for credentialing. It is necessary for providers who apply to print the CAQH form for completion and mail it to our office. This application will be the only form accepted. Commercial payers are not compelled to obtain access to the CAQH Universal Provider Datasource. 

Visit CAQH, for questions regarding this application. For questions regarding Community Health Plan's requirements, please contact your Provider Representative.

To become an organizational provider for Community Health Plan, begin the process by completing the appropriate credentialing application and submitting it to the following address:

Credentialing
Community Health Plan
137 N. Belt
St. Joseph, MO 64506


Credentialing Applications:

If you need further assistance, please contact our Credentialing Department at (816) 271-7831.


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