Educational requirements for SelectNet credentialing

For providers who are not planning to pursue Level ll accreditation through the Colorado Division of Workers' Compensation (DOWC), Pinnacol will accept either Level I or the Pinnacol Workers’ Compensation Basics for Providers course as meeting one of the SelectNet credentialing requirements for education beginning December 1, 2017. 

Upon completion, email the certificate of completion for each module to credentialing@pinnacol.com to verify you have met the course requirement.

SelectNet providers who are in the network prior to Dec. 1, 2017 will not be required to complete Level I or Workers’ Compensation Basics at the time of re-credentialing, unless their level of credentialing requires that they maintain Level I (chiropractors, for example).
 
SelectNet physician assistants working in primary care clinics must now take the Pinnacol course or the DOWC Level I course 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. Physician assistants working in specialty clinics are not required to take either course, but it is strongly encouraged that they take Pinnacol’s Workers’ Compensation Basics for Providers course.

SelectNet nurse practitioners working in primary care clinics must now take the Pinnacol course 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. Nurse practitioners working in specialty clinics are not required to take the course, but it is strongly encouraged that they take 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.     
Certain SelectNet physicians have additional credentialing requirements for Level II accreditation:

  • If acting as a primary care medical director and to be listed as the medical director in the SelectNet provider directory, the provider must maintain full Level II accreditation.
  • Network providers board certified in Occupational Medicine are required to be Level II accredited.
  • Occupational health service providers working exclusively in occupational health clinics must maintain full Level II accreditation. 
  • Physicians who provide permanent impairment evaluations (impairment ratings) of  workers’ compensation claimants and those who serve on the Division Independent Medical Examination Panel must be Level II accredited through the Division of Workers’ Compensation.

Note: Level II accreditation is only available through the DOWC. To obtain DOWC Level II accreditation, a physician must be DOWC Level I accredited after January 1, 2018. Physicians who received their initial Level II accreditation prior to January 1, 2018 are exempt from this requirement.  

For questions, please contact provider_management@pinnacol.com or 303.361.4945.