Common use of Health Plan Accreditation Clause in Contracts

Health Plan Accreditation. If Contractor has received a rating of “Excellent,” Commendable” or “Accredited” from NCQA, the Contractor shall be “deemed” to meet the DHCS requirements for credentialing and will be exempt from the DHCS medical review audit of credentialing. Deeming of credentialing certification from other private credentialing organizations will be reviewed on an individual basis.

Appears in 2 contracts

Samples: www.dhcs.ca.gov, www.edcgov.us

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Health Plan Accreditation. If Contractor has received a rating of “Excellent,” Commendable” or “Accredited” from NCQA, the Contractor shall be “deemed” to meet the DHCS requirements for credentialing and will be exempt from the DHCS medical review audit of credentialing. Deeming of credentialing certification from other private credentialing organizations will be reviewed on an individual basis.

Appears in 1 contract

Samples: www.cms.gov

Health Plan Accreditation. If Contractor has received a rating of “Excellent,” ”, “Commendable”, or “Accredited” from NCQA, the Contractor shall be “deemed” to meet the DHCS requirements for credentialing and will be exempt from the DHCS medical review audit of credentialingCredentialing. Deeming of credentialing Credentialing certification from other private credentialing organizations will be reviewed by DHCS on an individual basisbasis to determine whether the Contractor shall be “deemed” to meet DHCS requirements for credentialing.

Appears in 1 contract

Samples: www.dhcs.ca.gov

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Health Plan Accreditation. If Contractor has received a rating of “Excellent,” ”, “Commendable”, or “Accredited” from NCQA, the Contractor shall be “deemed” to meet the DHCS requirements for credentialing and will be exempt from the DHCS medical review audit of credentialing. Deeming of credentialing Credentialing certification from other private credentialing organizations will be reviewed by DHCS on an individual basisbasis to determine whether the Contractor shall be “deemed” to meet DHCS requirements for credentialing.

Appears in 1 contract

Samples: www.dhcs.ca.gov

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