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Hmsa credentialing 2026
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- Click ‘Get Form’ to open the HMSA Credentialing Application in the editor.
- Begin with Section I: Facility Information. Fill in the Legal Name, Business Name (if applicable), Federal Tax Identification Number, and NPI. Ensure all fields are completed accurately.
- Continue to provide contact details for the Administrator, including their email and phone number. Don’t forget to include the Medical Director's information if applicable.
- In Section II, enter the Physical Address of your facility. Confirm if ADA accommodations are available by checking 'Yes' or 'No'.
- Proceed to Section III for Mailing Address Information. This may differ from your physical address; ensure accuracy.
- Complete Sections IV through XI as required, ensuring you attach any necessary documentation such as insurance certificates or accreditation letters.
- Finally, review all entries for completeness and accuracy before electronically signing the form at the end.
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