Delegated Credentialing. Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor or delegate, such as a Provider organization, maintains a formal credentialing program in compliance with Contractor, NCQA, the Department and applicable regulatory agency standards. Contractor shall remain responsible for Provider credentialing and re-credentialing.
Appears in 5 contracts
Samples: Contract for Health Services, Contract for Health Services, Contract for Health Services
Delegated Credentialing. The Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor First Tier or delegateDownstream Entity, such as a Provider organization, maintains a formal credentialing program in compliance with the Contractor, NCQA, CMS, the Department and applicable regulatory agency standards. The Contractor shall remain responsible for delegated Provider credentialing and re-credentialing.
Appears in 4 contracts
Delegated Credentialing. Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor or delegatesubcontractor, such as a Provider organization, maintains a formal credentialing program in compliance with Contractor, NCQA, the Department Department, and applicable regulatory agency standards. Contractor shall remain responsible for Provider credentialing and re-credentialingre‐credentialing.
Appears in 2 contracts
Samples: State of Illinois Contract, State of Illinois Contract
Delegated Credentialing. The Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor First Tier or delegateDownstream Entity, such as a Provider organization, maintains a formal credentialing program in compliance with the Contractor, NCQA, CMS, the Department and applicable regulatory agency standards. The Contractor shall remain responsible for delegated Provider credentialing and re-credentialing.credentialing except where Providers are enrolled in the IMPACT system, as noted below in 2.8.10.2..
Appears in 1 contract
Samples: Contract
Delegated Credentialing. Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor or delegatesubcontractor, such as a Provider organization, maintains a formal credentialing program in compliance with Contractor, NCQA, the Department Department, and applicable regulatory agency standards. Contractor shall remain responsible for Provider credentialing and re-credentialing.
Appears in 1 contract
Samples: State of Illinois Contract
Delegated Credentialing. The Contractor may subcontract or delegate all or part of its credentialing functions when the subcontractor First Tier or delegateDownstream Entity, such as a Provider organization, maintains a formal credentialing program in compliance with the Contractor, NCQA, CMS, the Department and applicable regulatory agency standards. The Contractor shall remain responsible for delegated Provider credentialing and re-credentialing, except where Providers are enrolled in the IMPACT system, as noted in Section 2.8.10.2.
Appears in 1 contract
Samples: Contract