Recredentialing Sample Clauses

The Recredentialing clause establishes the requirement for periodic review and renewal of a party's credentials or qualifications. In practice, this means that individuals or entities must regularly submit updated documentation or undergo assessments to confirm they continue to meet the necessary standards or criteria set by the agreement. This process ensures ongoing compliance and helps maintain quality or regulatory standards, addressing the risk of outdated or insufficient qualifications over time.
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Recredentialing. The CONTRACTOR shall formally recredential its network providers at least every two years.
Recredentialing. A process for the periodic reverification of clinical credentials (recredentialing, reappointment, or recertification) is described in MCO's policies and procedures.
Recredentialing. Re-credentialing shall occur not less than every three years. At re-credentialing and on a continuing basis, the FIDA Plan shall verify minimum credentialing requirements and monitor Participant Grievances and Appeals, quality of care and quality of service events, and Medical Record review.
Recredentialing. A process for the periodic reverification of clinical credentials (recredentialing, reappointment, or recertification) is described in HMO's policies and procedures. 7.7.2.7.1 There is evidence that the procedure is implemented at least every three years. 7.7.2.7.2 HMO conducts periodic review of information from the National Practitioner Data Bank, along with performance data on all physicians, to decide whether to renew the participating physician agreement. At a minimum, the recredentialing, recertification or reappointment process is organized to verify current standing on items listed in "7.7.2.5(a)" through "7.7.2.5(f)" and item "7.7.2.5(l)" above. 7.7.2.7.3 The recredentialing, recertification or reappointment process also includes review of data from: a) Member complaints and b) results of quality reviews.
Recredentialing. Anthem’s recredentialing policy requires review and verification of provider credential- ing data every three (3) years. You’ll be notified about six (6) months before the three year mark that you’re due for recredentialing. Keep your CAQH application current. Attest every 120 days to avoid network participa- tion interruptions due to outdated information (addresses, or liability coverage, etc.) To receive notification, your practice information on file must be current. It is equally important your that your CAQH application is current and attested, to prevent termination for non-compliance. Follow steps 1-5 to attest to your CAQH application.
Recredentialing. Contractor shall maintain and implement policies and procedures delineating the process for periodic reverification of clinical credentials which shall occur at least every two years. Contractor shall ensure that the process includes a review of all areas reviewed for Credentialing, excluding previously researched past history, a performance review which includes data from Member complaints, results of quality reviews, Utilization management, Member satisfaction surveys. A site visit to Primary Care providersService Sites shall also be included in the recredentialing process.

Related to Recredentialing

  • Credentialing Firm shall be required to access Citizens’ online vendor credentialing system (“CAIS”) to input, update and maintain certain information about Firm and the persons who will perform work related to this Agreement (“Staff”), as provided below and in Exhibit B attached hereto.

  • Credentialing Requirements Registry Operator, through the facilitation of the CZDA Provider, will request each user to provide it with information sufficient to correctly identify and locate the user. Such user information will include, without limitation, company name, contact name, address, telephone number, facsimile number, email address and IP address.

  • Credentials The names and credentials of the individuals who: (1) designed the statistical sampling procedures and the review methodology utilized for the Claims Review and (2) performed the Claims Review.

  • Rosters 8.1 As far as practically possible, the Employer will draw up a roster 1 week in advance. Changes to rosters may occur with 24 hours notice or, subject to the availability of the Employee, with less notice if by mutual consent. 8.2 The Employer will ordinarily roster Employees in a manner that is both fair and equitable to ensure that, where applicable, the allocation of weekend and public holiday hours are equally divided between Employees on a rotating basis.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.