Common use of Verification of Credentials Clause in Contracts

Verification of Credentials. Group will cooperate with The Plan or other entity to which The Plan has delegated responsibility for credentialing, in the initial and ongoing verification of credentials of individuals employed by and/or contracted by Group who will be providing Covered Services under the terms of this Agreement. Notwithstanding anything in this Agreement to the contrary, credentialing-related correspondence, including notices of termination for failure to recredential, will be sent to the credentialing address on the Group Participating Provider’s individual credentialing application or the CAQH attestation received by The Plan, whichever is the most recent. Group will report all arrests, criminal actions, disciplinary actions, changes in participation in Medicare or Medicaid programs, changes in admitting privileges and professional licensure of Group Participating Providers, and any changes to the information submitted on Group Participating Provider’s initial or recredentialing application to The Plan in writing within ten (10) days of the action. Group further agrees to ensure that all employees and contracted staff who provide direct patient care maintain current licensure and certification. Group shall allow appropriate representatives of The Plan, or other entity to which The Plan has delegated responsibility for credentialing, access to such documentation upon reasonable request.

Appears in 1 contract

Sources: Network Participating Group Agreement

Verification of Credentials. Group will cooperate with The Plan or other entity to which The Plan has delegated responsibility for credentialing, in the initial and ongoing verification of credentials of individuals employed by and/or contracted by Group who will be providing Covered Services under the terms of this Agreement. Notwithstanding anything in this Agreement to the contrary, credentialing-related correspondence, including notices of termination for failure to recredential, will be sent to the credentialing address on the Group Participating Provider’s 's individual credentialing application or the CAQH attestation received by The Plan, whichever is the most recent. Group will report all arrests, criminal actions, disciplinary actions, changes in participation in Medicare or Medicaid programs, changes in admitting privileges and professional licensure of Group Participating Providers, and any changes to the information submitted on Group Participating Provider’s 's initial or recredentialing application to The Plan in writing within ten (10) days of the action. Group further agrees to ensure that all employees and contracted staff who provide direct patient care maintain current licensure and certification. Group shall allow appropriate representatives of The Plan, or other entity to which The Plan has delegated responsibility for credentialing, access to such documentation upon reasonable request.

Appears in 1 contract

Sources: Participating Group Agreement