Credentialing Requirements

1) You must Login into your CAQH account and complete the following steps:

• Authorize Genesis Physicians Group to access your data.
• Update your CAQH profile with accurate and up-to-date information:
  • • Professional education and training Include applicable training in the specialty for which you are applying
    • Work history (Include an explanation for work history gaps greater than six months)
      • Current workplace, including the practice you are being added to through GPG, must be listed in your work history in CAQH.
  • • Updated practice information: Please ensure that your practice information is up-to-date and accurately listed on your CAQH profile. Genesis will import practice locations directly from CAQH, so it is essential to verify that all practice locations are correctly listed to avoid any discrepancies and delays in your credentialing process.
    • Explanation to disclosure questions answered “YES”
• Upload the required supporting documentation, including:

  • Copy of current Texas State Medical License

    • • • NP/PA: Nurse Practitioners (NP) and Physician Assistants (PA) must be supervised by a licensed physician and are required to be listed under the supervising physician’s license with the Texas Medical Board (TMB).

  • Copy of current Texas DEA Certificate (If applicable)

  • Copy of current Certificate of Malpractice Insurance (minimum $200,000 per occurrence/$600,000 in the aggregate)

  • Board Certification (if applicable): must be Board certified or Board eligible**

  • Hospital Affiliations(if applicable): must have active hospital privileges, temporary privileges do not fulfill the requirement***

** Board Certification

Physicians: To be eligible for membership with Genesis Physicians Group a physician must meet the following Board Certification criteria in his/her primary specialty:

1. Be Board certified or have been Board certified (MOC is not required) in the primary specialty by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).
2. Be Board eligible in the primary specialty (or upon changing primary specialty) and board certified within five to seven years after completing the highest level of training in the primary specialty
3. Have completed an accredited residency or fellowship that will make the physician eligible to complete board certification in the primary specialty within five to seven years of completing that residency
4. Specialize in an area that has no board certification but is recognized by ABMS/AOA and completed an accredited residency or fellowship in that specialty and started practicing in the specialty within five years of completing the residency or fellowship

Physician Assistants must be board certified by the National Commission on Certification of Physician Assistants (NCCPA) and maintain certification for continued participation.

Nurse Practitioners must be certified by one of the following national certification boards and maintain certification for continued participation.

• ANCC: American Nurses’ Credentialing Center subsidiary of the ANA (American Nurses’ Association). Certification through the American Nurses’ Association (ANA) must be achieved through the ANCC.
• AANPCP: American Academy of Nurse Practitioners Certification Program
• AACN: American Association of Critical Care Nurses
• PNCB: Pediatric Nursing Certification Board
• NCC: National Certification Corporation for Women’s Health (OB/GYN) Nurse Practitioners (WHNP)
• NNP: Neonatal Nurse Practitioner (NNP)

*** Hospital Privileges:

• Hospital Exempt: Allergy/Immunology, Dermatology, Ophthalmology, Pathology, Radiology
• Hospital Coverage Letter: Family Practice, General Practice, Geriatric Medicine, Internal Medicine (no subspecialties), Pediatrics, and Physical Medicine.
• Hospital Privileges: Required for all other specialties. Must have active hospital privileges, temporary privileges do not fulfill the requirement. Must be an acute care facility; ambulatory surgery centers will not be accepted.