1. AzAHP Credentialing Alliance May 2012

2. Goal: To reduce the burden of credentialing currently placed on Arizona providers.

3. P A R T I C I P A T I N G P L A N S  Care1st Health Plan Arizona  CMDP  Health Choice Arizona  Maricopa Health Plan  Mercy Care Plan  Phoenix Health Plan  SCAN Health Plan Arizona  United Community and State (APIPA)  University of Arizona Health Plan ALL Arizona business lines (AHCCCS Acute/ALTCS, MA PD, D-SNP, Commercial). Together we represent over 1,115,000 members and over 15,000 unique providers. Plans DO NOT need to be a member of AzAHP to participate in the alliance.

4. S T R U C T U R E HEALTH PLAN

5. O P T U M I N S I G H T  Nation’s largest CVO  Approximately 550,000 credentialing events/year  Alliance experience  Certified by NCQA, accredited by URAC, compliant with JCAHO standards

6. S H A R E D C O M P O N E N T S  Initial Credentialing  Site visits (PCPs & OBGYN)  Re-credentialing  Both practitioners (includes dental) and facilities/organizations  Utilizing CAQH for practitioner applications  Plans retain control over network decisions and their credentialing committee

7. I N I T I A L C R E D E N T I A L I N G  Practitioners joining existing groups  New practitioner/practitioner group

8. R E - C R E D E N T I A L I N G Plan specific re-cred date  Dr. John Smith PLAN A: 4/17/2014 PLAN B: 7/10/2013 PLAN C: 1/20/2014 Alliance re-cred date: 7/10/2013

9. C U R R E N T A C T I V I T I E S  Contracts OptumInsight CAQH Plan Participation Agreements  Workflow definition/Statement of Work  Network extracts from Plans to Optum due May 17  Provider communication campaign  Delegated oversight process & pre-delegation review  Expecting the implementation to begin in June and LIVE September 2012

10. Questions

11. AzAHP Credentialing Alliance May 2012 Scott Cummings scummings@care1st.com 602.778.1860