Common use of Credentialing Process Clause in Contracts

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.

Appears in 5 contracts

Samples: Coordination and Provision of Public Health Care Services Contract, Hub Services Contract, Behavioral Health Care Services Contract

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