Skip to content

Quick Survey: Are You Being Recognized as a PCP by Health Plans?

Introduction

State law requires Medicaid managed care organizations to treat advanced practice registered nurses (APRNs) the same as physicians in the selection, assignment, and listing of primary care providers (PCPs), and establishes standardized credentialing processes. However, concerns remain that some commercial health plans may not consistently credential nurse practitioners (NPs) as PCPs or include them accurately in provider networks and directories. This brief survey is intended to better understand whether NPs and NP business owners are experiencing these barriers, so we can inform policy priorities and advocacy efforts for the upcoming legislative session.
1.Have you experienced any issues being selected and assigned as a Primary Care Provider (PCP) by a health plan?(Required.)
2.Have you experienced any issues being included as a PCP in a health plan’s provider network?(Required.)
3.Have you experienced any issues being listed as a PCP in a health plan’s provider directory?(Required.)
4.If you answered “Yes” to any of the above, which insurance company(ies) did you experience this issue with? (Check all that apply).(Required.)
5.Please list any additional insurance companies not included in Question 4 (or enter “N/A” if none).(Required.)
6.Do you own a nurse practitioner–led clinic or clinical practice?(Required.)
7.Please describe the insurance-related challenges you have experienced (e.g., issues with being designated as a PCP, included in networks, or listed in directories).
8.If you are willing to be contacted for follow-up, please provide your email address (optional).