Credentialing Criteria definition

Credentialing Criteria means Health Plan’s criteria for the credentialing or re- credentialing of Providers.

Credentialing Criteria means Alliance’s criteria for the credentialing or re- credentialing of Providers.

Credentialing Criteria means Health Plan’s criteria for the credentialing or re- credentialing of Providers that is consistent with New Jersey Department of Health licensure standards found at NJAC 8:39-1.1 et seq.

Examples of Credentialing Criteria in a sentence

• Credentialing Criteria – criteria establishing the qualifications of Network Providers.

• Contracted Provider and its subcontracted Providers shall secure and maintain for themselves and their employees, commercial general liability and professional liability (malpractice) insurance or self-insurance coverage for claims arising out of events occurring during the term of this Agreement and any post expiration or termination activities under this Agreement, in amounts required to meet Credentialing Criteria, and worker’s compensation insurance as required by State Laws.

• Refer to Network Credentialing Criteria for details regarding satisfactory malpractice history.

• Comments will inform development of a final version of the Radon Credentialing Criteria to help align and ensure consistency across credentialing programs operated by certification bodies and states.

• Provider must maintain licensure, accreditation, and credentials sufficient to meet Health Plan’s network participation requirements pursuant to Health Plan’s Credentialing Criteria.

• The municipal services in Plan 65M- 3365 were installed in June 1999 and the top course asphalt was placed in June 2002.

• All Providers must meet the Credentialing Criteria prior to participating in Health Plan’s contracted provider networks under this Agreement.

• Credentialing Criteria include, without limitation, participation in federal and state health care programs, satisfaction of all licensure/registry requirements in the state where Services are provided, and in states without audiology licensure, a Certificate of Clinical Competence in Audiology (CCC-A) from the American Speech-Language-Hearing Association (ASHA), and/or Board Certification in Audiology from the American Board of Audiology, and/or Hearing Aid Dispenser licensure.

• HCS may immediately terminate this Agreement if Provider fails to maintain the Credentialing Criteria.

• This in turn may lead to increased consumer confidence in, and demand for, radon service providers, as well as expanded markets for radon service providers.As mentioned previously, the EPA isparticularly interested in feedback on Sections III (Evaluation Framework) and IV (Implementation Approach) of the Proposed Radon Credentialing Criteria document, which is available in the docket.

More Definitions of Credentialing Criteria

Credentialing Criteria means the rules and regulations that govern BCBSMT’s Credentialing and Recredentialing process for the HELP Program. The applicable Credentialing and Recredentialing Criteria will be consistent with the applicable Montana and federal statutes, rules and regulations, including, without limit, the CMS Medicaid requirements for provider screening and enrollment requirements as outlined under 42 Code of Federal Regulations 455 Subpart E, including but not limited to disclosure of information regarding ownership and control, business transactions and persons convicted of crimes, site visits, criminal background checks, federal database checks, enrollment screening based on provider risk category (including unannounced pre and post site visits where applicable).

Credentialing Criteria means the criteria established by the IPA for the credentialing and recredentialing of Participating Providers, which may be amended from time to time by IPA in its sole discretion. (The Credentialing Criteria pertaining to Professional are set forth in Exhibit "B" hereto).

Credentialing Criteria means the criteria established, from time to time, by KHF for the initial credentialing and re-credentialing (as needed and determined by the Board) of Participating Providers, which may be amended from time to time by KHF in its sole discretion.

Credentialing Criteria. Credentialing Criteria" means the criteria established by CHN for the initial credentialing and re-credentialing (every 3 years) of Participating Providers, which may be amended from time to time by CHN in its sole discretion. The Credentialing Criteria pertaining to Provider are set forth in EXHIBIT 2.12. All Providers must pass the CHN credentialing process prior to participation in any Plan of CHN PPO.

Credentialing Criteria means the standards and processes for credentialing and/or recredentialing Affiliated Providers, as described in APS's Credentialing Activities, required for the accreditation of managed care organizations by NCQA or other recognized accrediting entity.

Credentialing Criteria means criteria which may be established by a Payor, IGS or third party for the credentialing and re-credentialing of Participating Providers, and which may be amended by them from time to time.