Common use of Delegated Credentialing Clause in Contracts

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: www.illinois.gov, www.justiceinaging.org, www2.illinois.gov

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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

Samples: clpc.ucsf.edu, www.cms.gov, hfs.illinois.gov

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: Model Contract, Model 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: Model Contract

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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: www.cms.gov

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: www.cms.gov

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