Become a Part of Something Special

ChildNet Medical Associates provides its physicians and members a network of shared knowledge and experiences, contracting facilitation, credentialing with health plans, and payor/provider network support.

Con­tract­ed Net­work Providers

ChildNet’s Net­work Par­tic­i­pa­tion Agree­ment (NPA) pro­vides mem­bers with access to a vari­ety of health plans and pay­ors. In addi­tion, providers have access to val­ue-added ser­vices such as a Group Pur­chas­ing Pro­gram. The NPA cov­ers both indi­vid­ual and group prac­tice arrange­ments; exhibits attached to the NPA define these relationships. 

To request mem­ber­ship as a Net­work Provider in Child­Net, please com­plete the Net­work Provider Request Form and return it to Child­Net. Your request will be pre­sent­ed to the Child­Net Board of Direc­tors for approval.

Eli­gi­bil­i­ty

Before you request an appli­ca­tion for mem­ber­ship as a con­tract­ed Net­work Provider in Child­Net, please ensure that you meet the fol­low­ing eligibility.

Med­ical Ser­vices
Must pro­vide med­ical ser­vices as a Pediatric/​Family Prac­tice Pri­ma­ry Care Physi­cian or Pedi­atric Specialist. 

Licens­ing
Must pos­sess a cur­rent, valid license to prac­tice in the State of Cal­i­for­nia and cer­ti­fy that your license to prac­tice has nev­er been revoked or sus­pend­ed by any State licens­ing board. 

Priv­i­leges
Must cur­rent­ly pos­sess Med­ical Staff appoint­ment with Val­ley Chil­dren’s Hos­pi­tal or anoth­er approved facil­i­ty with priv­i­leges com­men­su­rate with the ser­vices to be per­formed as a Con­tract­ed Physician/​Provider, or will be apply­ing for staff appointment. 

Cer­ti­fi­ca­tion
Must be board cer­ti­fied or com­plet­ed a res­i­den­cy-train­ing pro­gram approved by the Accred­i­ta­tion Coun­cil for Grad­u­ate Med­ical Edu­ca­tion (ACGME), Amer­i­can Osteo­path­ic Asso­ci­a­tion (AOA), or oth­er accred­it­ing body accept­able to CNMA’s Board in cur­rent specialty. 

If you meet the list­ed qual­i­fi­ca­tions and would like to become a Net­work Provider with Child­Net, please com­plete the Net­work Provider Request Form and return to Child­Net. Upon approval of your request by the Child­Net Board of Direc­tors, an Appli­ca­tion will be sent to you. Please return the Appli­ca­tion and all required infor­ma­tion as soon as possible.

You will be charged a cre­den­tial­ing fee of $200.00 ini­tial­ly and bi-annu­al­ly for recredentialing.

Upon com­ple­tion and Board approval of your cre­den­tial­ing appli­ca­tion, a Net­work Par­tic­i­pa­tion Agree­ment will be sent to you. Once Child­Net has received your com­plet­ed and signed Net­work Par­tic­i­pa­tion Agree­ment, any Health Plan agree­ments that you accept par­tic­i­pa­tion in will be noti­fied to add you to the Child­Net panel.

Are You Ready to Become a Part of Some­thing Special?

Fill out the net­work provider request form to join the more than 450 board-cer­ti­­fied pedi­atric pri­ma­ry care and spe­cial­ist physi­cians that make up ChildNet.

Get Start­ed