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Criteria For Membership

The following are Health Partners’ threshold eligibility criteria for Initial Appointment:

  1. A current, unrestricted license to practice in Ohio.
  2. Current, unrestricted federal DEA registration and/or Ohio controlled substance license
  3. Satisfactory completion of an approved postgraduate residency training program in the specialty in which you are practicing.
  4. Board certification by the appropriate specialty Board (ABMS and/or AOA) or proof that you have met the requirements for examination for certification by the appropriate specialty Board. If you area a primary care physician, Board certification must be attained within five (5) years of completion of residency training. Once attained, all specialties must maintain Board Certification.
  5. Current, valid professional liability insurance coverage in the amounts of 1/3M.
  6. No record of conviction of Medicare, Medicaid, or insurance fraud and abuse, payment of civil money penalties for same, or exclusion from such programs.
  7. No record of conviction of, or plea of guilty or no contest to, any felony, or any misdemeanor related to the practice of your profession, other health care-related matters, third-party reimbursement, violence, or controlled substance violations.
  8. No record of denial, revocation, relinquishment or termination of appointment or clinical privileges at any hospital for reasons related to professional competence or conduct.
  9. Hospital affiliations in good standing: Specialists must have staff affiliations at Mount Carmel Health (MCHS) facility. Primary Care physicians must have staff affiliations at a hospital that the physician declares as their primary affiliation.
  10. Explanation of all Work History gaps greater than One (1) month.
  11. Current CAQH application. CAQH summaries are not acceptable. The CAQH application must include all copies of requested documentation, current signatures and dates. This includes the Health Partners Consent and Release. If you are a sole practitioner, you must identify your cross coverage person from a Health Partners network provider.
  12. If you have knowledge that information pertaining to you has been reported to the National Practitioners Data Bank, a narrative explaining the report must accompany the application.