Resources for Providers

Resources for Providers

Provider Information

Download and referrence our latest terms and responsibilities document.

Provider Manual

Step 1: Complete the Forms

Following are forms for our current and prospective providers necessary for network inclusion, credentialing and recredentialing.

Provider Information Sheet

Give us key details about yourself and your organization.

We will use the details you provide to update our records and online provider search.

Choose download option:

PDF
Word

CPHP Authorization

A signed copy of this form is required with all Credentialing and Recredentialing documents.

Choose download option:

PDF
Word

State of Illinois Documentation

State of Illinois Credentialing and Recredentialing packets.

Providers use the State of Illinois form for initial credentialing or recredentialing purposes.

Choose download option:

Credential PDF
Recredential PDF

Step 2: Submit the Forms to CPHP

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