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Update Your CAQH Email for Recredentialing

Date: 02/26/24

Fort Lauderdale, Florida

Sunshine Health wants to make sure recredentialing communications reach practitioners well before they’re due.

To ensure practitioners affiliated with your provider agreement remain credentialed, you should always update your group’s contact email address with the Council of Affordable Quality Healthcare (CAQH).

Sunshine Health’s main contact for all credentialing communications is the primary credentialing contact listed on each practitioner’s CAQH application.

Practitioners will receive their first notice six months before their recredentialing due date and a second notice three months before the due date. If Sunshine Health cannot reach the practitioner or their practice to obtain missing documentation, the  process will end and the practitioner will have to go through recredentialing again.

How to Update CAQH Profiles

Practitioners can use the CAQH Provider Data Portal to update their contact information. 

Recredentialing Roadblocks

  • Contact personlisted in CAQH cannot be reached.
  • Failing to provide all necessary documentation in a timely manner.
  • Failing to grant health plan CAQH access.
  • Lack of attestation in CAQH.
    • Application must be attested to within 180 days.
  • Missing current group-centered Disclosure of Ownership (DOO) form (PDF).
    • DOOs are only valid for one year from the signature date.
  • Failing to maintain up-to-date background screenings.
    • If verification cannot be completed, termination can result.

Recredentialing Questions?

If you have questions during the recredentialing process, email recred-corporate@centene.com.

To view a checklist of required credentialing documents, download the List of Affiliated Practitioners (LOAP) roster form (Excel).

Call Sunshine Health Provider Services at 1-844-477-8313 or visit the Secure Provider Portal. To find your Provider Engagement Administrator, use the Find Your Administrator tool.

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