Re-credentialing. The process for periodic re-credentialing will include the following: (1) The Contractor shall complete the procedure for re-credentialing at least every three (3) years. (2) The Contractor shall verify the current licensure of the subcontractor on an annual basis or as required by licensure. (3) The Contractor shall verify Medicare and Medicaid exclusions on the subcontractor on the HHS Office of the Inspector General’s website on an annual basis. (4) The Contractor shall develop and implement a mechanism for identifying quality deficiencies that result in the Contractor’s restriction, suspension, termination, or sanctioning of a subcontractor, including reviewing AHCA’s Florida Health Finder website.
Appears in 2 contracts
Sources: Standard Contract (Wellcare Health Plans, Inc.), Long Term Care Community Diversion Pilot Project Contract