Provider Qualifications and Performance. 2.7.2.1. Written Provider Protocols: The Contractor must have written protocols in the following areas:
Provider Qualifications and Performance. 2.9.9.1. All Network Providers of Covered Services must be qualified in accordance with current applicable legal, professional, and technical standards and appropriately licensed, certified or registered. All providers must have good standing in the Medicare and Medi-Cal programs and a valid NPI number, as applicable. Providers that have been terminated from or suspended either Medicare or Medi-Cal cannot participate in Contractor’s Provider Network.
Provider Qualifications and Performance
