TherapyMantra

Priority Health Mental Health Provider Credentialing & Enrollment

Join Priority Health’s provider network and expand your mental health practice across Michigan with confidence.

What is Priority Health Mental Health Provider Credentialing & Enrollment?

Understanding the difference between credentialing and enrollment is crucial for your practice success.

Credentialing

The process of verifying your qualifications, experience, and competency to provide healthcare services.

Without Credentialing:

Cannot join insurance networks
Limited patient access
Reduced reimbursement opportunities
Professional liability concerns

Enrollment

The administrative process of joining Priority Health’s provider network and billing systems.

Without Enrollment:

Cannot bill Priority Health directly
Patients pay out-of-network rates
Complex reimbursement process
Limited referral opportunities

Benefits of Enrolling with Priority Health

Join Michigan’s trusted healthcare network and unlock opportunities for your mental health practice.

Regional Network Access

Serve Medicaid, Medicare, Commercial, and Marketplace members across Michigan

Telehealth Coverage

Access to telehealth platforms and behavioral health management tools

Competitive Rates

Receive fair compensation for your mental health services with transparent rate structures

Reliable Payments

Electronic payments processed efficiently with detailed remittance advice

Patient trust

Priority Health brand recognition increases patient confidence and referrals

Provider Resources

Access to compliance updates, clinical guidelines, and continuing education

Priority Health Mental Health Provider Requirements

Ensure you meet all requirements before starting your credentialing application process.

Education Requirements

Accredited graduate degree in mental health field
Completed internship or residency program (if applicable)
Board certification in specialty area (when required)
Continuing education credits current and up-to-date
Doctoral degree verification for psychology & psychiatry

License & Certifications

Valid Michigan state license for mental health practice
DEA license (if prescribing medications)
Active board certifications in good standing
No current sanctions or license restrictions
Clean OIG and SAM exclusion list verification

Practice Requirements

Professional liability insurance (minimum $1M per occurrence)
Physical practice location or approved telehealth setup
HIPAA compliance and privacy safeguards implementation
Electronic billing capability (EDI/clearinghouse registration)
Practice management system for scheduling and documentation

Background Verification

Clean professional history with no malpractice patterns
Complete malpractice history disclosure for past 10 years
Professional references from colleagues or supervisors
Previous insurance participation history and standing
Criminal background check and fingerprinting (if required)

Not Sure If You Qualify?

Our credentialing experts will review your qualifications and guide you through any requirements you may need to fulfill.

Free Qualification Review

24hrs Response Time

Choose TherapyMantra for your Credentialing & Enrollment

With over 15,000 successful credentialings, TherapyMantra provides trusted, end-to-end support. We help providers achieve faster enrollment, better reimbursement, and long-term success.

$0 Upfront Investment

100% Success-Based Pricing

Zero upfront costs, no hidden fees. We only succeed when you do – aligned incentives for your success.

Save $3,000-$8,000 in typical credentialing costs

99.2% Success Rate

Proven Track Record

Industry-leading approval rates with comprehensive application review and quality assurance.

Over 15,000 successful credentialings

Premium Rate Negotiation

Maximized Reimbursement Rates

Leverage our network relationships to secure higher reimbursement rates than standard contracts.

Average 15-25% higher rates than DIY

White-Glove Service

Complete Administrative Management

Dedicated credentialing specialists handle 100% of paperwork, applications, and follow-ups.

Save 40+ hours per network application

Faster Approvals

Expedited Processing

Established relationships and proven processes reduce credentialing timelines significantly.

30-60 days faster than industry average

Dedicated Support

Personal Credentialing Specialist

Direct access to your dedicated specialist for updates, questions, and ongoing support.

Average response time: 2 hours

Join MantraCare Network

Become a MantraCare provider and access our full ecosystem

Priority credentialing with all major networks
Access to MantraCare’s patient referral network
Technology platform and billing support included

Independent Provider Option

Maintain independence with MantraComply services

Full credentialing support while staying independent
Flexible service options and pricing models
Ongoing compliance and re-credentialing support

Your Priority Health Credentialing Journey: Step by Step

A clear, predictable process that gets you enrolled in the Priority Health network efficiently.

Application Prep & Submission

Complete application forms, gather required documentation, and submit to Priority Health

Document collection and verification
Application form completion
Initial submission to Priority Health
Confirmation and tracking setup

Priority Health Processing & Review

Priority Health verifies credentials, contacts references, and conducts background checks

Primary source verification
Background and reference checks
License and certification validation
Insurance and compliance review

Approval & Contract Setup

Final approval notification and provider agreement contract execution

Contract terms review
Rate negotiation assistance
Provider agreement signing
Network setup completion

Network Activation & Go-Live

System setup completion and begin serving Priority Health members

Provider directory activation
Billing system integration
Patient referral access
Ongoing support setup

Required Priority Health Mental Health Provider Documentation Checklist

Prepare these essential documents to expedite your Priority Health credentialing process.

Professional Credentials

Licensed qualifications & certifications

State medical license (current)

Mental health licensing credentials

Board certification documents

DEA registration certificate

State controlled substance license

Medical school diploma

Residency completion certificate

Fellowship certificates (if applicable)

Continuing education transcripts

License verification letters

Identity & Background

Personal identification & verification documents

Current CV/Resume

Professional headshot photo

Social Security card copy

Driver's license or state ID

Personal and professional references

OIG exclusion check results

Malpractice history disclosure

Background check authorization

Professional peer references

Previous employer verifications

Practice & Insurance

Business documentation and liability coverage

Professional liability insurance

General liability insurance

W-9 tax form

Voided check for direct deposit

Corporate documents (if applicable)

Office lease agreement

Practice location details

Hospital affiliation letters

Medical group agreements

Compliance certifications

Not Sure If You Qualify?

Our credentialing experts will review your qualifications and guide you through any requirements you may need to fulfill.

Document RetrievalWe help obtain missing certificates and verifications

Quality Review Every document reviewed before submission

Frequently Asked Questions

Get answers to common credentialing and enrollment questions

How long does Priority Health credentialing take?

The typical Priority Health credentialing process takes 45-60 days from application submission to network activation. This includes initial review (30-60 days), approval and contracting (1-2 weeks), and final system setup (1-3 days). We work to expedite your application and keep you informed throughout the process.

What if my application is denied?

Application denials are rare with proper preparation. If denied, we’ll work with you to understand the reasons, address any deficiencies, and resubmit your application. Common reasons include incomplete documentation, licensure issues, or credential verification delays – all of which can typically be resolved.

Do you handle re-credentialing?

Yes, we manage ongoing re-credentialing requirements for Priority Health. Re-credentialing typically occurs every 3 years and involves updating your credentials, maintaining current licensure, and ensuring continued compliance with Priority Health standards.

Can you help with multiple networks besides Priority Health?

Absolutely! While this page focuses on Priority Health, we help mental health providers credential with multiple insurance networks simultaneously. This can maximize your patient base and revenue opportunities across Michigan and beyond.

What happens after I'm approved?

Once approved, you’ll receive your provider agreement, be set up in Priority Health’s systems, and can begin serving their members. You’ll have access to provider portals, billing systems, and ongoing support resources. We’ll help ensure a smooth transition to active network participation.

Are there fees for Priority Health credentialing?

Priority Health does not charge credentialing fees to providers. Our services include a consultation to discuss your needs, and we’re transparent about any service fees upfront. Many providers find our expertise saves time and prevents costly delays.

What if I'm missing required documents?

Don’t worry! We’ll help you identify any missing documents and guide you through obtaining them. We can often proceed with your application while certain documents are being obtained, preventing delays in the credentialing timeline.

Get Started with Your Priority Health Credentialing

Join Michigan’s leading healthcare network and start serving more patients today.

Free initial consultation
No upfront fees
98% success rate
30-45 day average processing
Dedicated specialist assigned
100% compliance guarantee
Document checklist and enrollment strategy provided
Dedicated specialist begins your enrollment process

Don’t take our word for it. Join the hundreds of healthcare providers who have successfully enrolled through our expert credentialing services.