Standards and Credentialing Clause Samples
The Standards and Credentialing clause establishes the requirements and qualifications that individuals or entities must meet to participate in a particular program, service, or activity. It typically outlines the necessary certifications, licenses, or professional standards that must be maintained, and may specify processes for verifying or updating credentials. This clause ensures that all participants meet consistent quality and competency benchmarks, thereby protecting the integrity of the program and reducing the risk of unqualified participation.
Standards and Credentialing a) Enroll as a provider in the Georgia Fee-for-Service (FFS) Medicaid/Peachcare for Kids Program, pursuant to the Georgia Department of Community Health (DCH) policies and procedures, if providing a FFS Medicaid reimbursable service. Exclusions from FFS Medicaid enrollment include: special instructors, nurses in BCW who only review medical records, interpreters and translators, non-licensed family trainers, parent educators and vision teachers.
b) Enroll as a provider in one (1) or more Georgia Medicaid Care Management Organizations (CMO) pursuant to the CMO’s policies and procedures if providing a Medicaid CMO reimbursable service for children enrolled in the respective CMO. Exclusions from Medicaid CMO enrollment include: service coordinators, special instructors, interpreters and translators, vision teachers, nurses in BCW who only review medical records, parent educators, non-licensed family trainers and transportation company providers.
c) Enroll in the Babies Information and Billing System (BIBS) as a Service Provider by completing the required forms as listed on the BIBS website ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇.▇▇▇/Babies-Cant-Wait.
d) Refer all potentially eligible children to the BCW system point of entry within two (2) days of identification. The District will determine eligibility for BCW and perform intake and other supportive services prior to the Individualized Family Service Plan (IFSP).
e) Meet and maintain all applicable and necessary standards and regulations for licensing, credentialing, program licensure, and funding requirements for services provided and the physical facilities, in accordance with the ADA standards, which services are made available as applicable.
f) Complete, once every five (5) years, a criminal history check for every person performing services under this Agreement in accordance with BCW requirements. The Service Provider is responsible for the cost of this criminal history check.
g) Agree to submit to local district Early Intervention Coordinator (EIC), within 30 business days prior to contract execution:
i. Copy of professional license, if applicable.
ii. Proof of Medicaid identification number, if applicable.
iii. Copy of service coordinator certificate, if applicable.
iv. Copy of criminal history check performed within the last five (5) years.
v. Copy of Liability Insurance, excluding Language Interpreters/Translators.
vi. Copy of college transcript for non-licensed providers and service coordinators.
h) Furnish the Departmen...