Become a contracted provider

Learn how to enroll in Sharp Health Plan’s provider network.

Contracting with Sharp Health Plan

If you’re interested in being part of the Sharp Health Plan network, you may contract independently or through a contracted medical group. We require all physicians to get credentialed before becoming a contracted provider. This process involves collecting and verifying your professional qualifications to ensure the highest level of safety and care for our members.

Getting started

1. Contact Provider Relations

First, send a request to our provider relations team. Our team will respond within two business days. We will ask you to create a profile. They will determine your eligibility based on our network needs.

2. You will hear from us
We will contact you directly if your profile fulfills a network need such as expansion of services.

3. Contracting and credentialing
If you are approved, a contract specialist will work with you to finalize your contract. At the same time, you will receive a credentialing packet that needs to be completed within 15 days of receipt.

4. Formal approval
The process is complete when you have a finalized provider contract and we have approved your completed credentialing packet.

What you need to know

Credentialing packet requirements

  1. Curriculum Vitae, with current work history
  2. Current copy of your California Medical License
  3. Current copy of your Drug Enforcement Agency (DEA) Certificate, if applicable
  4. Evidence of current professional liability coverage (acceptable minimum amount is $1 million/$3 million)
  5. Admitting Arrangements Statement, if you do not have hospital privileges at a contracted Sharp Health Plan hospital

Credentialing verification is done through a third party vendor and may take up to 120 days to complete, because of this, it is important to complete the credentialing application packet and submit all required documentation in a timely manner.

Getting certified, licensed and registered

All contracted providers must have

  • Board certification or proof of residency completion in your practice specialty
  • A current California medical license
  • A current, unrestricted Drug Enforcement Agency (DEA) registration number, if applicable
  • A restriction-free record with the Medical Board of California

Setting up hospital privileges

To join our provider network, you must have admitting privileges at a Sharp Health Plan-contracted hospital. Exceptions may be allowed if you don’t normally have admitting privileges or if you’ve made arrangements with other Sharp Health Plan-credentialed physicians to admit members on their behalf.

Provider coverage and liability insurance

Sharp Health Plan requires contracted providers to offer round-the-clock coverage for all Plan members with another participating or on-call physician who agrees to follow our guidelines, too. You also must have professional liability insurance of at least $1 million per occurrence and $3 million annual aggregate.