Provider Contracting & Credentialing
Thank you for your interest in becoming a Network Provider with El Paso Health. If you would like to add a Provider to our network, please fill out the information below to send you a request by email.
Learn about the new Consolidated Credentialing Verification Organization (CVO) Initiative and review the CVO FAQs .
**To qualify for expedited credentialing the provider must: (1) be a member of an established health care provider group that has a current contract in place with El Paso Health, (2) be a Medicaid enrolled provider, (3) agree to comply with the terms of the contract between El Paso Health and the health care provider group, and (4) timely submit all documentation and information required by El Paso Health as necessary for El Paso Health to begin the credentialing process.
Please fill out the information below to send your request by email.
You can download our Credential Packet Forms here:
- DME Supplies Form
- Demographic Form
- W9 Form – Request for Taxpayer Identification Number and Certification
- Credentialing Checklist for Organization/Facility
- Credentialing Application for Organization
- Credentialing & Re-Credentialing Checklist for Physician
- Texas Standardized Credentialing Application
- EFT Form
If you have any questions, please contact us at 915-532-3778 or toll free at 1-877-532-3778.