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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

September 2018

Credentialing for Addiction Medicine

Beginning this month, Harvard Pilgrim will add addiction medicine as a subspecialty for medical providers. To receive credentialing for this subspecialty, Harvard Pilgrim requires that providers be board certified in addiction medicine from the American Board of Preventive Medicine (ABPM).

Harvard Pilgrim requires board certification from ABPM to ensure that addiction medicine specialists have taken the appropriate training pathway in the field of addiction medicine. For information on requirements and the pathways to achieve subspecialty certification in addiction medicine, please refer to the ABPM’s website.

If you are a Harvard Pilgrim provider who is certified in addiction medicine by the ABPM and would like to have it added as one of your subspecialties in our Provider Directory, please complete our Changing Provider Enrollment Information form and return the completed form to the Provider Processing Center in one of the following ways:

  • Email: PPC@harvardpilgrim.org
  • Fax: 866-884-3843
  • Mail:  Harvard Pilgrim Health Care
    • Attn: Provider Processing Center
    • 1600 Crown Colony Drive
    • Quincy, MA 02169

Any new providers with addiction medicine certification from ABPM who join your practice would follow the standard credentialing process, which is detailed in the Clinical Credentialing and Recredentialing policy found in our online Provider Manual.

Addiction medicine is distinct from the subspecialty of addiction psychiatry. The credentialing information detailed in this article refers only to addiction medicine and is relevant for Harvard Pilgrim-contracted medical providers. Because addiction psychiatry is a behavioral health subspecialty, provider enrollment and claims for this subspecialty will continue to process through our behavioral health vendor, Optum/United Behavioral Health.

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