Join the Network
Due to network size and utilization, UM Health Plan may close network participation to new providers. Currently the network is closed for the following specialties*:
Ambulatory Surgical Centers
Behavior Analysts
Chiropractic Medicine
Durable Medical Equipment
Home Health Care
Hospice Services
Laboratory
Occupational Therapy services and/or new locations
Optometry
Physical Therapy services and/or new locations
*Exceptions may be applicable for the Michigan Care Network, Saginaw, Bay or Tuscola Counties
To Join the Network
All provider applications are reviewed in accordance with applicable Michigan laws regarding HMO Provider panels. Once an application is received, it will be reviewed and you will either be mailed a participation agreement for your signature (for solo practices), or if UM Health Plan has a sufficient number of providers in your specialty area, you will be sent a letter declining your participation request.
UM Health Plan requires individual applicants to complete the New Provider Request Form and the Council for Affordable Quality Healthcare (CAQH) credentialing application. Facility applicants should complete the HAAP Ancillary Provider Application in the Forms section of this website.
The following documentation and information is collected:
- New Provider Request Form
- Participation Agreement
- CAQH application ID
- Signed attestation
- Identification and documentation explaining gaps in work history (if more than three months)
- Signed release of information
- Signed W-9
- Collaborative Agreement between applicant and physician (if applicable)
- Documentation of medical education and training
- Copy of DEA and controlled substance license (if applicable)
- Copy of license
- Copy of malpractice insurance, including effective and expiration dates, dollar amount and name of the insurance company
- Identification of participating hospitals in which provider has clinical staff privileges and primary admitting facility
- Explanation of any malpractice issues
Many steps are required in the application review, and we value your cooperation during this process. We are obligated to maintain a consistent procedure with each applicant, and our policy does not allow us to authorize services prior to approval by the Credentialing and Peer Review Committee. This is to ensure the quality of the services we provide, as well as to fulfill our responsibility to our Members.
Please note that applicants have the right to:
- Review information submitted to support their credentialing application
- Correct erroneous information
- Receive the status of their credentialing or recredentialing application upon request
