Common use of Provider Selection (42 CFR §438 Clause in Contracts

Provider Selection (42 CFR §438. 214). i. The Contractor shall implement written policies and procedures for selection and retention of network providers and that those policies and procedures, at a minimum, meet the following requirements: a. Credentialing and re-credentialing requirements. i. The Contractor shall follow the state’s established uniform credentialing and re-credentialing policy that addresses behavioral and substance use disorders. ii. The Contractor shall follow a documented process for credentialing and re-credentialing of network providers.

Provider Selection (42 CFR §438. 214). i. The Contractor shall implement written policies and procedures for selection and retention of network providers and that those policies and procedures, at a minimum, meet the following requirements: a. Credentialing and re-credentialing requirements. i. The Contractor shall follow the state’s established uniform credentialing and re-re- credentialing policy that addresses behavioral and substance use disorders. ii. The Contractor shall follow a documented process for credentialing and re-credentialing of network providers.

Provider Selection (42 CFR §438. 214). i. The Contractor shall implement written policies and procedures for selection and retention of network providers and that those the implemented policies and procedures, at a minimum, meet the following requirements: a. Credentialing and re-credentialing requirements. i. The Contractor shall follow the state’s established uniform credentialing and re-re- credentialing policy that addresses behavioral and substance use disorders, outlined in DHCS Information Notice 18-019. ii. The Contractor shall follow a documented process for credentialing and re-credentialing of network providers.