Recredentialing Packet After CAQH Attestation: Still Due?

Last reviewed: October 7, 2026.

Yes, you usually still have to return a payer’s recredentialing packet even if you just attested CAQH. CAQH gives the payer your current profile, but many networks also require their own signed forms and current documents. Verify the request is real, confirm you still participate with that network, then send the full packet before its deadline.

First, is this request legitimate?

Recredentialing notices often go to whatever email the payer has on file, which may be a clinician’s personal address rather than the practice’s. A reasonable first reaction is “is this real?” Check the sender against the payer’s known credentialing contact or provider website before opening attachments or signing anything.

Then confirm two facts: which clinicians actually participate with that network, and whether recredentialing is actually due. A directory listing or old welcome letter shows participation, not a due date. When the notice is a real request, it usually names the clinician and the network’s cycle; one regional network we work with recredentials at least every 36 months.

Why CAQH attestation is not enough

Payers that credential from CAQH still own their recredentialing decision. In the packets we handle, the payer often asks for CAQH plus its own paperwork. A typical request we have seen from a regional network included:

• a state uniform recredentialing form;

• the network’s signed authorization and certification form;

• a current liability face sheet or declarations page that lists the clinician as covered;

• the current professional license, plus DEA or controlled-substance registration only if applicable; and

• a current W-9.

The same notice said that providers using CAQH should pull their CAQH application and send it along with the other items. That is the pattern: CAQH supplements the packet, it does not replace it. Other payers ask for a separate reattestation inside their own portal; Optum, for example, has asked clinicians to reattest network information on its provider site within a set window.

What tends to go wrong

• The first notice is missed, and the second and third requests arrive with shorter deadlines.

• The liability certificate on file expired or names only the group practice. See which liability certificate to send.

• Signatures are missing a date, or the authorization page is left out.

• Nobody confirms the network still matters. Occasionally a practice no longer sees clients covered by that network; ask whether to keep participating before investing in the packet, and decide deliberately rather than letting it lapse.

How to submit and close it out

1. Update CAQH first so the license, liability policy, and practice locations match what you are about to send, then re-attest.

2. Complete and sign every payer form. List the CAQH ID and latest attestation date in your cover note so the reviewer can pull the profile.

3. Send everything to the credentialing contact in one message and ask them to confirm receipt.

4. Follow up until the payer confirms recredentialing is complete. An acknowledgment that they will start working on it is not an approval.

CAQH’s provider user guide covers attestation and authorizing payers to view your profile. Payer manuals, such as Evernorth’s behavioral health administrative guidelines, describe each network’s own recredentialing expectations. If your profile itself needs work, start with how to create and complete a CAQH profile. Bomi assembles recredentialing packets from the practice’s CAQH data and current documents, and follows up until the payer closes the request.

Related Guides

• CAQH Malpractice Section: Occurrence or Claims-Made?

Frequently Asked Questions

I got a recredentialing email at my personal address. Is it real?

It may be. Payers use whatever contact they have on file. Verify the sender against the payer’s known credentialing contact before opening attachments, then update your contact details with the payer.

What happens if I ignore the recredentialing requests?

Expect second and third requests. Networks require recredentialing to stay in network, so ask the payer what happens to your participation if it lapses. If you no longer want the network, decide that on purpose.

Sources

• DataSpring | CAQH: Provider User Guide, version 46

• Evernorth: Behavioral Health Administrative Guidelines