Credentialing

Interested in Becoming Credentialed?

The Detroit Wayne Integrated Health Network (DWIHN) is required by contract with Michigan Department of Health and Human Services to ensure that our panel of providers meet the criteria necessary to provide behavioral health services which meet appropriate Medicaid and Medicare standards. The Managed Care Operations unit is responsible for the development of this panel of providers. All providers interested in providing services within the Detroit Wayne system must complete the impaneling process.

If you would like to more information on how to become a Provider at DWIHN please follow this link Provider Inquiry Form

What is Credentialing?

Credentialing is the process the DWIHN uses to determine if behavioral health providers meet criteria to provide services to persons with Severe Mental Illness, Serious Emotional Disturbance, Intellectual/Developmental Disability and/or Substance Use Disorder.

What is the Credentialing Process?

The behavioral health provider will first contact Credentialing Unit at (313) 344-9099. A basic inquiry is conducted to determine eligibility. If deemed eligible the requester will receive an invitation to a training.

The potential provider will receive a link to complete the application

The Credentialing Verification Organization verifies information and checks Office of Inspector General and Systems for Award Management websites to determine if providers/practitioners have been excluded from Medicaid/Medicare lines of business

The Credentialing Committee chaired by the Medical Director or their physician designee approve the credentialing application which will allow the provider to become a member of the DWIHN Provider Panel.

Review and approval of the clinicians credentialing application follows the same steps above.

Provider Credentialing does not guarantee a contract with the Detroit Wayne Integrated Health Network (DWIHN), however, it is the first step in the process. All providers contracted with DWIHN must be credentialed. All clinicians that provide services must be credentialed. If you have any questions or concerns contact the Credentialing Unit at pihpcredentialing@dwihn.org.