Provider Credentialing

The following guidelines are intended to inform providers regarding the process for credentialing and re-credentialing. BHD-DHS Leadership, Credentialing Committee, and Quality Improvement Manager may require additional documentation or amendments to the process as necessary to ensure regulatory compliance.

Sonoma County Procedures and Policies:

7.1.1 Provider Credentialing and Continuous Monitoring

Provider Credentialing and Continuous Monitoring Procedure (update in-process)

Credentialing Process Steps:

1. Submit required documentation to DHS-RMU-Credentialing DHS-RMU-Credentialing@sonoma-county.org
   • Missing or incomplete documents will result in delays!
2. Revenue Management Unit (RMU) will collect documents, coordinate with Quality Improvement to approve credentials, and send required SmartCare training to the staff member.
3. Quality Improvement will review required documentation and coordinate with RMU to get clarifications, missing documentation, or form updates.
4. Some providers may require credentialing review or approval by Credentialing Committee and/or DHS Compliance. 
5. RMU will grant access to SmartCare once credentials have been approved and required SmartCare training is complete.

Required Documents for All Staff:

1. BHD-144 Staff Number and Smartcare Request Form.
2. Current resume / work history.
3. Credentialing Attestation Form
   • Conviction history and permissive exclusion attestation required for "yes" answers.
4. Copy of pre-screening checks from the following databases:
   1. Social Security Death Master File.
   2. OIG LEIE, SAM, and Medi-Cal Ineligible Provider List.
5. Evidence of any history of liability claims filed against the provider (if applicable).
6. National Provider Identification Number (NPI) with correct taxonomy code (see SMHS and DMC-ODS Billing Manual  Appendix 1 – Taxonomy Codes)
   • SMHS and DMC Billing Manuals can be found at https://www.dhcs.ca.gov/services/MH/Pages/MedCCC-Library.aspx.
7. Other documents may be required based on the credentialing provider type, please see credentialing procedure.
   • Copy of current license, registration, certification, diploma and/or transcripts as required for the credentialing provider type.
   • Provider Application and Validation for Enrollment (PAVE) registration is required for all licensed staff (registered and associates are excluded).
     • https://pave.dhcs.ca.gov/sso/login.do
   • Other Qualified Providers (OQP) and Graduate Student Interns require submission of a job description and supervision plan.
   • DEA License and CURES registration is required for all authorized prescribers.
     • Controlled Substance Utilization Review and Evaluation System | State of California - Department of Justice - Office of the Attorney General

National Provider Identifier Form

BHD 170 Behavioral Health Division Credentialing Attestion

MHS 700 SmartCare Electronic Signature Agreement

Staff Numbers and SmartCare Request, Sonoma County Department of Healthcare Services: Behavioral Health Division