![]() Additional information or documents provided by the practitioner are date stamped and placed in the practitioner’s file. Credentialing staff contact the practitioner to clarify unclear information.Īny verbal clarification provided by the practitioner is documented in the practitioner’s file, along with the date and signature of the individual obtaining the information.Care implements processes to allow practitioners to exercise these rights in the following manner: Obtain information about the status of his or her application or reapplication.Review information obtained as part of the credentialing and recredentialing processes.By signing Addendum C, the practitioner attests to understanding the credentialing and recredentialing processes including his or her right to and the process to: ![]() Care notifies practitioners of these rights via the application and reapplication and the provider web site.Īddendum C of the California Participating Physician Application (CPPA) which is used for all practitioners at credentialing and recredentialing must be signed by the practitioner. Upon request, to be informed of the status of their credentialing or recredentialing application.Review information submitted to support their credentialing and recredentialing application. ![]() Care’s policy is that practitioners have the right to: Care) recognizes practitioner rights in the credentialing and recredentialing processes. Policy regarding your rights during the credentialing/recredentialing process including to review information and correct erroneous information submitted to support your credentialing application, as well as obtain information about the status of your application and how to exercise these rights Our contracts with specialists and specialty group practices outline which party is responsible for notifying those members affected by the termination prior to the effective date of termination. Care's members who have been under the ongoing care of a terminating specialist or an entire specialty group. The contract amendment also requires specialists and specialty group practices to provide timely notification to L.A.
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