Email received from: Romelyn.Lucar@evernorth.com  Sub: Fwd: Evernorth Behavioral Health - Erin Oliva  Dear Erin Oliva,  CAQH ID#: 14282970  Thank you for your interest in joining the Evernorth Behavioral Health network of providers. At this time, the process is on hold because your Council for Affordable Quality Healthcare (CAQH) application is missing the following highlighted documentation.  ·         NEW USERS -  o    To create your application: https://proview.caqh.org/  o    For quick reference guide: https://proview.caqh.org/Login/Download?filename=PR-QuickRef.v2.pdf  o    For all other questions call the CAQH Helpdesk - 1.888.600.9802 or navigate to: https://www.caqh.org/solutions/caqh-proview-resources for all other available resources.  ·         AUTHORIZE ACCESS – CAQH is reporting that you have not granted Evernorth access to view your CAQH account. You must grant Evernorth permission to access your information before we can continue the credentialing process. To complete this requirement, follow these steps:  1.        On the “Authorize” page, you have two options to select which listed organization(s) you would like to receive your information.  2.        Select one and click “Save” to proceed to the next step.  3.        Click “Review & Attest”.  4.        Proceed to “Next Steps – All Users” on the next page.  ***You must re-attest anytime you have updated any information on your CAQH profile.  ·         APPLICATION RELEASE (Mandatory for all new users) - all providers new to CAQH must submit a signed copy of the “Application Release Form”. CAQH requires a signed copy to keep on file. To complete this requirement, follow these steps:  1.        Select “Documents”  2.        Under section titled “Mandatory Attestation Documents” you will find the “Application Release Form”.  3.        Click “Download”  4.        Print, sign, and upload to your CAQH profile.  5.        A how-to video is also available for assistance - https://www.youtube.com/watch?v=mKQ6Q1PImig&t=4s  ·         EXPIRED ATTESTATION – Every 120 days (180 for IL providers) you will receive a notification from CAQH Proview to re-attest that all information in your profile is still correct.  Ø  Expired Attestation Date: ************  o    To complete this requirement, follow these steps:  1.        Log in.  2.        At the home page, select “Review & Attest.”  3.        Review and update your data as needed.  4.        Click on “Attest.”  5.        Upload any applicable supporting documents.  ·         PROFESSIONAL LICENSE and DEA/CDS (Prescribers Only) – Current expiration date must be at least 60 days from the receipt of this communication.  Ø  State License expiration date: ***********  Ø  DEA expiration date: ***********  ·         EDUCATION MISSING - Evernorth requires ALL Graduate education information be completed in CAQH. Must include the following:    o    Highest Level of Education –including School Name, Degree, Start date & End date  o    Prescribers – Must include Internship/Residency/Fellowship information.  o    Specialty Information – including Primary Specialty  ·         PROFESSIONAL LIABILITY INSURANCE - Current expiration date must be at least 60 days from the receipt of this communication.  Ø  Professional Liability expiration date: 12/01/21  ·         WORK HISTORY GAP - to be compliant with Evernorth's credentialing standards you must demonstrate the following:  o    Five years of consecutive work history with no gaps of more than 6 months. Education can substitute for work history, if appropriate.  o    An explanation must be included in the Work Gap Explanation field for any work history gaps more than 6 months.  Ø  Work History Gap showing in CAQH - ************  ·         Resume and CV  o    Work history and Education can be accepted via CV/Resume as long as it is dated within the last 2 years.  You must complete the above to continue the credentialing process with Evernorth. If you have any questions about the application, contact CAQH directly at 1.888.600.9802.   Thank you,        +  ROMELYN LUCAR  Provider Relations Associate Analyst, Behavioral Health  EVERNORTH.COM