Update CAQH to Practice with Nourish

Estimated completion time: Less than 10 minutes, if you grant Nourish permission to update on your behalf! Otherwise, approximately 1 hour.

CAQH, or the Council for Affordable Quality Healthcare, is a nonprofit organization that aims to improve the efficiency of healthcare by streamlining administrative processes. Nourish, and most other healthcare organizations, utilize CAQH's ProView database, which allows providers to manage and share their credentialing information electronically with payers.

In order to be credentialed with Nourish, you will need to have a completed CAQH profile that has been fully updated to reflect practicing with Nourish. Because payers rely on CAQH data for credentialing, it is absolutely critical that each field of your CAQH profile is correctly updated. Even seemingly small errors can significantly delay the credentialing process.

Because CAQH is time-consuming, complex, and critical, we prefer to update CAQH on behalf of providers. Allowing Nourish to update your CAQH gives you peace of mind that your credentialing applications will process successfully, and saves you time!

Within the Verifiable Onboarding Form (see Verifiable training here), you will be asked to provide consent to Nourish updating your CAQH. A complete list of the updates that Nourish will make on your behalf are listed below.

If you do not wish for Nourish to update CAQH on your behalf, please do not share CAQH credentials in the Verifiable Onboarding Form, and do not check the box granting Nourish permission to make updates to your CAQH profile on your behalf.

The following fields will be updated as shown below:

• NUCC Grouping: Dietary and Nutritional Service Providers

• Provider Type: Dietitian

• Practice Setting: Inpatient / Outpatient or Outpatient Only

• Primary Practice State: Prior to Oregon licensure approval, please list your primary practice state as applicable. Upon approval of your Oregon licensure, please ensure that OR is listed as your primary practice state in your CAQH application.(After your Oregon licensure is obtained, Oregon should be listed as your primary practice state for successful credentialing. Doing so generates the Oregon-specific CAQH application which is required by our payers.)

• Additional Practice States: Every state (other than Oregon) in which you hold active licensure should be listed as an additional practice state.

The following fields will be updated as shown below:

• Professional License: Oregon licensure details will be added.

• Drug Enforcement Agency (DEA) Registration: The checkbox “I do not prescribe controlled substances” will be marked, with “Reason for not having DEA Registration”, selected as “I don’t have a DEA due to my provider type”.

We will confirm the following:

• Primary Specialty: Dietitian, Registered (133V00000X)

• Board Certified: Yes

• Name of Certifying Board: Commission on Dietetic Registration

• Initial Certification Date, expiration date, and last recertification date.

Within Practice Locations, we will add two types of practice locations.

1. A primary practice location for Nourish, Inc that lists our Oregon address.

2. Additional virtual-only practice location(s) for Nourish, Inc [insert state] location, for all non-TX states you hold active licensure in.

This section is not required because credentialing contacts are designated within each practice location. Any data listed here will override the contact designation within each practice location.

If you have existing data, we will add another credentialing contact in this section for Nourish specifically, rather than deleting existing data.

We will add Nourish's group liability policy to the Professional Liability Insurance section. We will also upload proof of coverage to the Documents section.

We will confirm that at least five years employment history, with any gaps addressed, are provided. We will also add Nourish as a current employer. CAQH allows you to have multiple current employers, so we will not make any changes to existing data.

We will confirm all disclosure questions have been answered. We will not update any new disclosure questions on your behalf.

We will upload the following documents:

• Oregon State License

• Proof of Professional Liability Insurance

• State Disclosure for Oregon

• State Release for Oregon

We will update your authorization settings to allow any organization that requests access.

We will review and attest your profile after making any changes to save your data.

If there is any required data that we are unable to update for you, we will notify you via email. We will provide step-by-step instructions on completing the necessary items and will offer support if needed to resolve.

We understand that CAQH contains sensitive information. We take your data privacy seriously. Rest assured, your CAQH credentials will be stored only in Verifiable, a trusted third-party credentialing organization that meets rigorous security standards.

The updates outlined above will need to be made, whether Nourish is making them on your behalf or if you'd prefer to do so yourself. Because the updates are required by payers for successful credentialing, there is no way around making the above updates. We strongly recommend granting Nourish consent to update CAQH on your behalf, as minor errors can cause significant downstream implications on your credentialing, including a denial of your in-network participation and a delayed start date.

If you do not consent to Nourish updating your CAQH, we respect your choice. Please do not provide your CAQH credentials in the Verifiable form. Doing so will ensure that no CAQH updates are made on your behalf.

Q: I provide in-network care outside of Nourish. Will updating my CAQH to reflect practicing with Nourish interrupt coverage for my existing patients outside of Nourish?
A: If your credentialing is already complete with the practice you are currently seeing patients through (meaning, you are able to provide in-network services currently), updating your CAQH to reflect practicing with Nourish will not impact your existing operations or network status outside of Nourish. While we will need you to set your primary practice state to Oregon to generate the Oregon-specific CAQH application needed for credentialing at Nourish, you are welcome to have other practicing states as additional practice states, and other practice locations as additional practice locations. You can have more than one current employer within the Employment History section of CAQH, so you’re welcome to list Nourish, as well as any existing practices there!

If your credentialing is presently underway outside of Nourish (meaning, you’re in the process of becoming an in-network provider but cannot yet provide in-network care), then it’s possible that updating your CAQH profile to reflect practicing with Nourish could result in delayed or rejected credentialing outside of Nourish. Unfortunately, there is no workaround here, as payers do require your CAQH profile to be fully updated for successful credentialing with Nourish. If this describes your present circumstance, please inform our credentialing team by emailing credentialing@usenourish.com so you can align on the path forward.

If you have any questions, don't hesitate to reach out to credentialing@usenourish.com, or utilize our New Hire Help Center chatbot. We're happy to help!