Common use of Provider Credentialing Clause in Contracts

Provider Credentialing. a. Provider will submit to and abide by the CMO’s Credentialing programs with respect to Provider’s application for and continued participation in the CMO provider network. To the extent Provider operates a facility that provides services subject to review and accreditation by a recognized accrediting body under the CMO’s then-current credentialing requirements, Provider shall obtain and maintain such accreditation at all times during the term of this addendum. b. Provider shall notify the CMO within ten (10) business days following Provider’s receipt of any notice regarding an adverse action related to any restrictions upon, or any suspension, loss or surrender of, any professional license, certification or registration; privileges; Drug Enforcement Administration provider number; or any other action that impacts Provider’s ability to render Covered Services. In the case of a Provider who operates a facility, this requirement shall apply to any adverse action related to any restrictions upon, or any suspension or loss of, the provider’s accreditation as required under the CMO’s then-current credentialing requirements. c. Subject to applicable law, State Contract, and the Care Select Program requirements, this addendum shall immediately terminate upon any such expiration, surrender, revocation, restriction, or suspension as described in this section.

Appears in 2 contracts

Sources: Indiana Health Coverage Programs/Medicaid Provider Agreement, Indiana Health Coverage Programs/Medicaid Provider Agreement