Thank you for your interest in wanting to be a part of the Greater Oregon Behavioral Health, Inc. (GOBHI) provider panel. Below you will find instructions on completing the credentialing application process.

1. Introduction/Resources

Please review the GOBHI Initial Credentialing Letter [PDF] from the Credentialing Medical Officer.

Download the Practitioner Credentialing Checklist[PDF] to make sure you have completed all required documentation before submitting.

If you have questions about the process, please refer to our Credentialing FAQs [PDF].

Contact email for questions: credentialing@gobhi.net

2. Application Forms

Oregon Practitioner Credentialing Application Glossary [PDF]

Oregon Practitioner Credentialing Application [PDF]

Oregon Practitioner Credentialing Application Attachment A [PDF]

Oregon Practitioner Credentialing Application GOBHI Addendum [PDF]

Oregon Practitioner Credentialing Attestation Form (for attestation update only) [PDF]

Recredentialing and Updates

Oregon Practitioner Recredentialing Application [PDF]

Practitioner and Organizational Provider Change Notification [PDF]

3. Document Submission

Upload your documents to GOBHI's secure Sharefile portal

Alternatively, you may send documents to secure e-mail at credentialing@gobhi.net Be sure to include #SECURE# in the subject line along with your name.

If you do not have the ability to send the documents electronically, please contact a member of the credentialing staff via email at credentialing@gobhi.net to arrange for other ways to submit all of the required documentation.

GOBHI Credentialing Policies and Procedures

Credentialing Program Structure and Overview [PDF]

Practitioner Credentialing and Recredentilaing Process [PDF]

Ongoing Monitoring Corrective Action Termination and Appeals [PDF]