Credentialing

Type of service

In person

In person

Virtual/telehealth

Virtual/telehealth

Virtual/telehealth

Place of service

Services are delivered inside our service area (clinic)

Services are delivered inside our service area (clinic)

Services are delivered inside our service area (home or clinic)

Services are delivered inside our service area (clinic)

Services are delivered outside our service area (home or clinic)

State licensure

Inside our service area

Inside our service area

Inside our service area and within the state telehealth services are provided in

Inside our service area and within the state telehealth services are provided in

Inside our service area and within the state telehealth services are provided in

Member location

Inside our service area

Inside our service area

Inside our service area

Inside our service area

Inside our service area

Credentialing and contracting eligibility

Eligible

Eligible

Eligible

Eligible

Not eligible