Re-credentialing. The Provider must reapply for continued participation status once every two (2) years from the initial approval date. All required re-credentialing documents must be submitted to the Credentialing Contracted Agent before the day the current approval expires. Failure to submit all required re-credentialing documents will result in termination of credentialed status. The Contracted Agent will send a Termination Notice if the Provider fails to comply with this regulation. The Provider is eligible to apply for re-credentialing after 6 (six) months from the day the Termination Notice was sent. The Provider is not allowed to provide any credentialed services for 6 (six) months or at any time when the Provider is not credentialed. In addition, Staff must remain in compliance relating to all required materials (including but not limited to: background checks, motor vehicle license, motor vehicle insurance, first aid and CPR certification, mandated reporter training, staff photo) Should the provider fail to comply with these requirements for continued participation status, the staff is no longer allowed to provide services as an approved provider and will be terminated and remain ineligible to reapply for a period of six (6) months.
Re-credentialing a. CONTRACTOR shall update, verify and review all pertinent provider credentialing information and qualifications, and assess the provider’s performance over the previous three (3) years.
Re-credentialing. For purposes of Re-Credentialing, RHS shall consider quality performance, member satisfaction, compliance with RHS administrative procedures, utilization performance and practice patterns and attitudes as they relate to managed care practices.
Re-credentialing. Provider shall cooperate with the re-evaluation of their credentials at such intervals, as DentaQuest shall determine, but not more frequently than every three years. Such evaluation may take into account a review of Provider's past performance and practice patterns, and a review of dental records and evaluations pertaining to Provider's participation in the delivery of dental care.
Re-credentialing. (1) The SERVICE PROVIDER conducts re-credentialing at least every two years, or sooner, as circumstances may require.
Re-credentialing. The process for periodic re-credentialing shall include the following:
Re-credentialing. The Provider must reapply for continued participation status once every two years from the initial approval date. The Credentialing Contracted Agent will collect up-to-date information on all required credentialing documents. Failure to comply with this regulation will delay the Re-Credentialing approval for up-to-sixty (60) days.
Re-credentialing. Contractor re-credentialing is performed at minimum every 36 months or as indicated by SBHASO.
Re-credentialing. Participating Practice shall cooperate with the re-evaluation of their credentials at such intervals, as DentaQuest shall determine, but not more frequently than every two years. Such evaluation may take into account a review of Participating Practice's past performance and practice patterns, and a review of dental records and evaluations pertaining to the Participating Practice's participation in the delivery of dental care.
Re-credentialing. The Provider must reapply for continued participation status once every two years from the initial approval date. All required re-credentialing documents must be submitted to the Credentialing Contracted Agent before the day the current approval expires. The Contract Agent will send a Termination Notice if the Provider fails to comply with this regulation. The Provider is eligible to apply for re-credentialing after the 6th (six) month from the day the Termination Notice was sent. The Provider is not allowed to provide credentialed services during these 6 months or at any time when the Provider is not credentialed. The Credentialing Contracted Agent will collect up-to-date information on all required credentialing documents.
