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.
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Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
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.
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