Pro Care Health Plan, Inc. (Pro Care) credentials and recredentials all practitioners/providers who provide services to Plan members. The Plan is dedicated to contracting with high quality institutions, physicians and allied health care professionals to ensure members are receiving quality health care and services.

The scope of the Plan’s Credentialing Program encompasses credentialing and recredentialing activities for:

Criteria for participation

• Completed MAHP or CAQH Credentialing Application with Attestation & Consent
• Current & Valid State of Michigan License to Practice
• Current & Valid State of Michigan Controlled Substance, if applicable
• Current & Valid Federal DEA Controlled Substance Registration License
• Current Malpractice Coverage (minimum amount required by Pro Care is $100,000/ 300,000).
• Graduation from Medical or Professional school and completion of Residency training in practice specialty, as applicable
• Evidence of American Board certification/qualification. In absence of Board certification/qualification, must have completed residency/fellowship training in practice specialty. (Special note for DPM’s: must have completed 2-year residency program
• Clinical privileges in good standing at a participating hospital (if applicable). Exceptions include dermatologists, radiologists and chiropractors. Medical doctors with no clinical privileges must have an agreement with a participating physician with privileges at a participating hospital to cover inpatient admissions
• Eligible to participate in the Medicaid program with no pending sanctions
• Successful completion of facility site review (FSR) if applicable
• Service availability and accessibility

If you are interested in becoming a Pro Care provider, please complete the MAHP Standard Practitioner Application located in the Forms Section.  Please email the completed application to kbrown@procarehp.com or mail to:

Pro Care Health Plan would like to invite participating providers to participate on our Credentialing & Peer Review Committees.  Please contact the Credentialing Department at (313) 267-0318 if you are interested in participating.