Before you request an application for membership as a contracted Network Provider in ChildNet, please ensure that you meet the eligibility requirements below.
Requirements for Network Participation in ChildNet are:
- Must provide medical services as a Pediatric/Family Practice Primary Care Physician or Pediatric Specialist.
- Must possess a current, valid license to practice in the State of California and certify that your license to practice has never been revoked or suspended by any State licensing board.
- Must currently possess Medical Staff appointment with Valley Children’s Hospital or another approved facility with privileges commensurate with the services to be performed as a Contracted Physician/Provider, or will be applying for staff appointment.
- Must be board certified or completed a residency-training program approved by the Accreditation Council for Graduate Medical Education (ACGME), American Osteopathic Association (AOA), or other accrediting body acceptable to CNMA’s Board in current specialty.
If you meet the above qualifications and would like to become a Network Provider with ChildNet, please complete the Network Provider Request Form and return to ChildNet. Upon approval of your request by the ChildNet Board of Directors, an Application will be sent to you. Please return the Application and all required information as soon as possible.
You will be charged a credentialing fee of $200.00 initially and bi-annually for recredentialing.
Upon completion and Board approval of your credentialing application, a Network Participation Agreement will be sent to you. Once ChildNet has received your completed and signed Network Participation Agreement, any Health Plan agreements that you accept participation in will be notified to add you to the ChildNet panel.