Assessment of Organizational Providers – Policy CR305
Guide
This policy document from Colorado Access establishes the standards and procedures for the credentialing and reassessment of organizational healthcare providers. It ensures compliance with NCQA standards and details requirements such as licensing, liability insurance, accreditation, and site visits. The policy covers both physical and behavioral health provider types and includes a structured review and classification process. Procedures for initial application, reassessment, quality monitoring, and confidentiality are also included. The document serves to maintain a high-quality provider network across all impacted business units and product lines.