Sandhills Center
For Immediate Help:
1-800-256-2452
Main Menu
Provider Recredentialing

Provider Recredentialing

Sandhills Center requires recredentialing of all network providers every three years.

You will receive notification from Sandhills Center Network Operations to complete the applicable Recredentialing Application(s) (Agency, LIP or hospital) and submit supporting documents. Failure to return a completed application within the time required may delay review of your application, which also may result in a lapse in your participation in the Sandhills Center provider network.

Please be reminded that Sandhills Center is a closed network. You are being recredentialed for services that are currently on your contract. You are to select on the application those services that you are currently providing. The recredentialing process does not allow you the opportunity to add additional services or change your contracted funding source(s).

As a part of the recredentialing process, Sandhills Center will also review any provider performance concerns within the network, including any information collected through the Sandhills Center Quality Management Department.


Recredentialing Applications:

 

Credentialing/Recredentialing Criteria for Agencies, LIPs & Hospitals

Provider Credentialing and Recredentialing Criteria (Medicaid and IPRS) document

(All applications must be signed and dated originals.)

 

Network Operations

During the recredentialing process, you will have the right to:

  1. Be informed upon request of the status of your recredentialing
  2. Be notified of information that is significantly different than reported by you
  3. Have the opportunity to correct erroneous information in writing

You may be enrolled with the Council for Affordable Quality Healthcare (CAQH). This data source will suffice for some of your recredentialing requirements. If you are a participating provider with CAQH and authorize Sandhills Center to access your information, please let us know. We will retrieve your information for review and contact you for any additional information. You may register with CAQH at no cost by visiting this CAQH web page.

Questions? Submit Provider Enrollment questions here