Colorado Providers – New Credentialing Standards for Pinnacol Assurance!

Nov 16, 2015 | Uncategorized

Colorado Providers – New Credentialing Standards for Pinnacol Assurance!As part of the ongoing effort to educate providers about the most effective treatment protocols for workers’ compensation, Pinnacol Assurance is amending their SelectNet network credentialing standards for nurse practitioners and physician assistants practicing in the following urban counties:  Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Elbert, Garfield, Jefferson, Larimer, Mesa, Pueblo, and Weld. Mid-level providers in these counties will be required to complete Division of Workers’ Compensation (DOWC) Level 1 training.nnEffective January 1, 2016, Pinnacol’s mid-level provider credentialing requirement for your SelectNet Agreement (Exhibit B, SelectNet Credentialing Policy) is amended/updated to include the following  participation requirement: “Evidence that Mid-Level provider successfully audited a Division of Workers’ Compensation Level I course (or compliance within 12 months)”nnFor your convenience, a revised Exhibit B has been created and is available by clicking here. Please print this updated version and use it to replace the current Exhibit B of your SelectNet Agreement. In the next week, impacted mid-level providers will be notified of this new requirement. Registration information for an upcoming DOWC Level 1 training on December 3, 2015, the last training in 2015, is available here and here. You may register for additional Level I seminars in 2016 through the DoWC website. Pinnacol will reimburse a limited number of SelectNet mid-level providers for the cost of this course.  Email to request information about this reimbursement program.nnIf you have questions regarding this notification, please contact Pinnacol’s provider network management department at 303.361.4945 and speak with the provider relations specialist assigned to your contract.