Become a Provider

As a Trillium Community Health Plan provider, you can rely on:

• A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll-free access to bilingual registered nurses
• Initial and ongoing provider education through orientations, office visits, training and updates
• A dedicated claims team to ensure prompt payment
• Minimal referral requirements and limited prior authorizations
• A dedicated provider relations team to keep you informed and maintain support in person, by email or by phone
• The ability to check member eligibility, authorization and claims status online;
  healthcare collateral for your patients (e.g., information about our benefits and services), and educational displays for your office

In order to complete the enrollment, the following is required for Practitioner credentialing:  

• Data Form
• Oregon Practitioner Credentialing Application (PDF) (Required only if not registered in CAQH)*
• Oregon Licensure*
• DEA (if applicable)*
• Certificate of Professional Liability Insurance*
• DOO 3974 for the group name, TIN and group NPI

*Action Required: If your practitioners are registered with CAQH, documents noted above are required to be uploaded in CAQH and current. Please authorize Centene Corp to access applications in CAQH.

Network Participation Requests

• Physician Network Participation Request Form (PDF)
• Ancillary Network Participation Request Form (PDF)

Physical Therapy, Speech Therapy and Occupational Therapy

• Contact Northwest Rehab Alliance (NWRA) 1-800-219-8835 or email at nwra@taipt.com or visit the website at nwrehab.com/ContactUs

Routine Vision Services

• Contracting inquiries for Routine Vision Services Optometrist (OD’s) to Envolve Network Management at EBONM@EnvolveHealth.com