Pinnacol is dedicated to maintaining an occupational health network of highly qualified, competent providers. Our credentialing program includes a review of network need, verification of primary sources through an external credential verification organization (CVO) and the use of two separate credentialing committees.
SelectNet providers who are board-certified in occupational medicine or work in a clinic primarily focused on providing occupational health services must obtain Level II Accreditation through the Colorado Division of Workers' Compensation (DOWC). This requirement must be met within the first year of joining the network. In addition, physicians who provide permanent impairment evaluations (impairment ratings) of workers’ compensation injured workers and those who serve on the Division Independent Medical Examination (IME) Panel must be Level II accredited through the DOWC.
Level II Accreditation exceptions for individual providers will be considered on the basis of an exceptions-request form that must be completed and submitted at the time of initial credentialing or recredentialing to credentialing@pinnacol.com. There must be compelling evidence that the provider requesting the exemption has Level II accredited colleagues in the same system that are readily accessible, experienced, and within a reasonable geographic proximity. The Level II exception request form is attached below.
For SelectNet primary care providers who are not required to obtain Level ll Accreditation, Level I Accreditation is required within the first year of joining the network.
SelectNet PM&R specialists, physician assistants (PA) and nurse practitioners (NP) working in primary care clinics must also obtain Level I Accreditation within the first year of joining the network. This will ensure they can treat injured workers covered by Pinnacol and be listed in the SelectNet provider directory. PAs and NPs working in specialty clinics are not required to obtain Level I Accreditation, but are encouraged to complete Pinnacol's Workers' Compensation Basics for Providers course.
Prior to joining the network, all chiropractic providers must complete the DOWC Level I Accreditation course. Regardless of the provider’s treating pattern, only the DOWC Level I course will meet the SelectNet credentialing requirement.
All other SelectNet providers are highly encouraged to complete Pinnacol Workers’ Compensation Basics for Providers course. Upon completion of the course, providers should email the certificate of completion for each module to credentialing@pinnacol.com to verify the provider has completed the course.
In addition to Level I or Level II Accreditation, prescribing medical providers applying for initial credentialing for SelectNet must complete an educational course on prescribing and managing opioids within the first year of joining the network. Learn more.
Note: Level I and II accreditation is only available through the DOWC. To obtain DOWC Level II Accreditation, a physician must be DOWC Level I accredited.
For questions, please contact provider_management@pinnacol.com or 303.361.4945.