Credentialing. The Provider will maintain written documentation confirming that each individual providing services under this agreement has and maintains the requisite credentials. Any change in status regarding any credentialing requirements must be reported in writing, by the Provider to the Department's Credentialing Contracted Agent, within thirty days.
Credentialing. 220.127.116.11 The Contractor shall maintain written policies and procedures for the Credentialing and Re-Credentialing of network Providers, using standards established by National Committee Quality Assurance (NCQA), Joint Commission on Accreditation Healthcare Organization (JCAHO), or American Accreditation Healthcare Commission/URAC. At a minimum, the Contractor shall require that each Provider be credentialed in accordance with State law. The Contractor may impose more stringent Credentialing criteria than the State requires. The Contractor shall Credential all completed applications packets within 120 calendar days of receipt.
Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital means a hospital that meets the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital and that is recognized by the Department of Community Health as a critical access hospital for purposes of Medicaid.
Credentialing. If CONTRACTOR is performing Medi-Cal billable services under this Agreement, CONTRACTOR may be subject to the COUNTY’s credentialing process which includes, but is not limited to: • Curriculum vitae • Malpractice Insurance Certificate • Copy of Current licensure This process is required to be completed prior to reimbursement for Medi-Cal eligible services. The CONTRACTOR is responsible to notify the COUNTY of all treating providers and subcontracted providers performing under this Agreement and assisting in the credentialing process as needed. Once initial credentialing is completed, a re- credentialing process will occur no less than every three (3) years.
Credentialing. All Providers must meet the Credentialing Criteria. Subject to Laws and Program Requirements, (a) Health Plan conducts credentialing of providers before they begin providing Covered Services and re-credentialing from time to time thereafter as required for Health Plan’s compliance with Laws, Program Requirements and accreditation standards, and Providers shall consent to and cooperate with such credentialing/re-credentialing, which may include site reviews, and (b) until successful completion of credentialing of a provider by Health Plan, (i) the provider shall not be added as a Participating Provider under this Agreement, and (ii) the provision of, and payment for, Health Plan authorized Covered Services to Members by the provider shall be subject to Health Plan’s policies and procedures for non-participating providers.
Credentialing. PacifiCare shall maintain standards, policies and procedures for credentialing and recredentialing physicians, hospitals and other health care professionals and facilities that provide Covered Services to Members under the Managed Care Plans (“Credentialing Program”). The Credentialing Program shall be maintained in accordance with the requirements of State and Federal Law and the standards of Accreditation Organizations.
Credentialing. By means of the Services provided by Third Iron hereunder, the Third Iron Software will work within the Library’s credentialing systems (such as EZ Proxy, Shibboleth, IP, username/password, etc.) to ensure that only Authorized Users have access to the Content. The Library is responsible to maintain the accuracy and integrity of its credentialing systems in order to ensure that no one other than Authorized Users is allowed to access the Library Content. The Library shall notify Third Iron promptly of any security issues with its credentialing systems or any unauthorized access or use of the Content. Third Iron may, without liability and without further investigation, rely on the Library’s credentialing systems and provide access to the Content to any person who has the appropriate login credentials.
Credentialing. Saint Luke’s contracts with a third party contractor that provides vendor credentialing services (a “Credentialing Contractor”). Company, its employees and agents shall cooperate with the credentialing process; provide all information and documentation requested by Credentialing Contractor to complete this process; and pay Credentialing Contractor’s fees for providing this service. The registration and approval should be completed prior to Company providing any Products and performing any services hereunder; no Company employee or representative will be allowed access to Saint Luke’s or any Facility unless and until the credentialing process is complete. Failure of Company, its employees and/or agents to complete the credentialing process and to comply with the terms and requirements imposed pursuant to the credentialing process and program shall be a material breach of this Agreement. All employees, representatives and/or agents of Company, while on site at any of Saint Luke’s facilities, shall comply with and abide by Saint Luke’s policies and procedures, of which they are made aware. Saint Luke’s reserves the right to immediately remove from its premises any Company employee, agent, authorized representative or permitted subcontractor if, in Saint Luke’s sole discretion, that course of action is in the best interest of Saint Luke’s, its employees, agents, contractors, patients or other visitors, or if any of the requirements in this Section 11.1 are not complied with.
Credentialing. Practice shall cooperate, and shall ensure that Participating Physicians cooperate, with the credentialing process implemented by HMHP or any Payor with which HMHP contracts (“Credentialing”). Practice and each Participating Physician understands that HMHP and Payors will rely on the Credentialing forms Practice completes, including but not limited to the location where Covered Services may be offered, and Practice agrees to notify HMHP or the Payor immediately of any material change in any information provided in a Credentialing form. Practice acknowledges that any material misstatement or omission on the Credentialing forms may constitute cause for a Participating Physician’s termination from participation under this Agreement by HMHP.