Providers
Credentialing
Thank you for your interest in becoming a part of our professional mental health network. Our network covers plans for BlueCross BlueShield of South Carolina's Preferred Blue®, BlueChoice® HealthPlan, the Federal Employees Program (FEP) and Planned Administrators, Inc. (PAI). On behalf of BlueCross BlueShield of South Carolina and BlueChoice HealthPlan, both licensees of the Blue Cross and Blue Shield Association, CBA administers substance abuse and mental health benefits. CBA is a separate company that administers behavioral health benefits.
To be considered eligible for the CBA network, you must be licensed by the appropriate South Carolina state licensing board to practice independently without supervision. Any licensed provider with a qualifier “intern” is not eligible to join our network.
Here is what we require as part of the credentialing process:
- Read, complete, sign and return the CBA Practitioner Credentialing Application.
- Read, sign and return the CBA Professional Agreement (Please contact CBA at 1-800-868-1032, ext. 25744 to request a copy of this document).
- Sign and return each HMO Hold Harmless Agreement (Appendix C of the CBA Professional Agreement).
- Enclose a copy of the S.C. State License(s).
- Enclose a copy of the DEA License (if applicable).
- Enclose a copy of the protocol (Nurse Practitioners only).
- Enclose proof of current malpractice coverage.
All non-MDs should have coverage as follows: $1,000,000/$1,000,000.
MDs should have coverage as follows: JUA/PCF combination or $1,000,000/$3,000,000.
Mail or fax the completed application and supporting documentation to:
Companion Benefit Alternatives, Inc.
ATTN: Network Coordinator, AX-315
P.O. Box 100185
Columbia, SC 29202
Fax: (803) 714-6456
Please make sure you include all information and allow at least 30 days before calling to check on the status of your application. CBA cannot process applications until it receives all information. Please keep a copy of all application materials for your records.
If you would like more information on joining the network, please e-mail CBA.Quality@companiongroup.com.