Credentialing and Recredentialing Criteria for PCPs. OB/GYNs, and Other Specialists Additional credentialing criteria for PCPs, obstetricians/gynecologists (OB/GYNs), behavioral health providers and other high-volume specialists must include a visit to the provider’s office, documenting a structured review of the site and medical record keeping practices to ensure conformance with the MCO standards. The MCO must maintain a recredentialing policy with all activities continuing to be conducted every three (3) years. Site visits are not required at the time of recredentialing. Each specialty provider shall ensure his or her respective service delivery site meets all applicable requirements of the law and has the necessary and current license, certification, accreditation, or designation approval per state requirements.
Credentialing and Recredentialing Criteria for PCPs. OB/GYNs, and Other Specialists Additional credentialing criteria for PCPs, obstetricians/gynecologists (OB/GYNs), behavioral health providers and other high-volume specialists must include a visit to the provider’s office, documenting a structured review of the site and medical record keeping practices to ensure conformance with the MCO standards. The MCO must maintain a recredentialing policy with all activities continuing to be conducted every three (3) years. Site visits are not required at the time of recredentialing.
