Credentialing Process. The full Credentialing process is governed by DCF Policy 31-12-12.3 which can be found under "Policy and Regulations" on the Department website: xxxx://xxx.xx.xxx/dcf.
Credentialing Process. County’s subcontracted Providers shall be credentialed and recredentialed through CalOptima’s credentialing process. Notwithstanding County’s subcontracted Providers’ representations in any pre-application questionnaire, in this Contract and/or in connection with any Health Network credentialing application, CalOptima reserves the right to verify any and all Minimum Standards and any other credentialing standards CalOptima, in its sole judgment, deems necessary and appropriate to County’s subcontracted Providers’ eligibility to participate in CalOptima’s Programs. County’s subcontracted Providers’ participation in CalOptima’s Programs is subject to CalOptima’s approval of County’s subcontracted Providers’ credentialing application. The procedure and criteria for review of County’s subcontracted Providers’ credentials and initial and continued eligibility shall be established by CalOptima, and may be amended from time to time. This Contract may be terminated by CalOptima at any time a significant portion of County’s subcontracted Providers fail to meet the standards for continued eligibility to participate in CalOptima’s Programs.
Credentialing Process. Provider Enrollment Coversheet
Credentialing Process a. Contractor shall have written policies and procedures for credentialing and recredentialing Providers, which includes collecting evidence of credentials and screening the credentials of Providers, programs and facilities used to deliver Covered Services. These policies and procedures shall be consistent with OAR 410-141-0120, Oregon Health Plan Prepaid Health Plan Provision of Health Care Services and shall include verifying possession of valid licenses or certificates if any are required under any federal, state, or local law, rule, or regulation to deliver Covered Services in the State of Oregon. These policies and procedures shall also include collecting proof of liability.
Credentialing Process. County's subcontracted Providers shall be credentialed and recredentialed through CalOptima's credentialing process. Notwithstanding County's subcontracted Providers' representations in any pre-application questionnaire, in this Contract and/or in connection with any Health Network credentialing application, CalOptima reserves the right to verify any and all Minimum Standards and any other credentialing standards CalOptima, in its sole Orange County Health Care Agency- Public Health Coordination and Provision of Public Health Care Services Contract _Medi-Cal June I, 2013 judgment, deems necessary and appropriate to County's subcontracted Providers' eligibility to participate in CalOptima's Programs. County's subcontracted Providers' participation in CalOptima's Programs is subject to CalOptima's approval of County's subcontracted Providers' credentialing application. The procedure and criteria for review of County's subcontracted Providers' credentials and initial and continued eligibility shall be established by CalOptima, and may be amended from time to time. This Contract may be terminated by CalOptima at any time a significant portion of County's subcontracted Providers fail to meet the standards for continued eligibility to participate in CalOptima's Programs.
Credentialing Process. The Contractor shall implement written policies and procedures that comply with the EOHHS requirements set forth below regarding the selection, retention, and exclusion of Providers from the Provider Network. Such written policies and procedures shall, at a minimum:
Credentialing Process
