The APRN (CNP and CNS) Credentialing Requirements

Oct. 12, 2021

Blue Cross and Blue Shield of Oklahoma (BCBSOK)’s credentialing process follows the national Consensus Model for Advanced Practice Registered Nursing (APRN) (Certified Nurse Practitioner (CNP) and Certified Nurse Specialist (CNS): Licensure, Accreditation, Certification and Education.

Need to Know: APRN's education and certification specialty must align with their scope of practice. The practice location of the APRN should be consistent with both the population focus and area of emphasis/specialty (if applicable) listed on his/her license.

BCBSOK reviews the following elements as part of its criteria when considering an APRN's application for network participation and credentialing:

  • Licensing
  • A description of the APRN's current practice (Sections 3, 7 and/or 8 of the Uniform Credentialing Application)
  • Details regarding certification, training and education (Sections 5 and 10 of the Uniform Credential Application)
  • Sponsorship for Prescriptive Authority (if applicable)
  • Copies of the BNDD and CDS and a Curriculum Vitae (Section 12 of the Uniform Credentialing Application)