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
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
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