Mahp credentialing application form 2025

1. Click ‘Get Form’ to open the mahp credentialing application in the editor.
2. Begin by filling out the Personal Information section. Enter your name, degree, and contact details accurately. Ensure you select your gender and provide any other names you may have used.
3. Proceed to the Practice Specialty section. Indicate whether you are applying as a primary care physician or specialist, and specify your specialty.
4. In the Primary Office Practice Information section, list your practice details including health plans accepted, type of practice, and office hours. Make sure to check if your office is handicap accessible.
5. Complete the Medical/Professional School and Post Graduate Training sections by listing all relevant institutions attended along with graduation dates.
6. Finally, review all sections for accuracy before signing the attestation statement on page 9. Use our platform’s features to save and submit your completed application easily.

Start using our platform today for free to streamline your application process!