Provider Credentialing and Recredentialing Policy

This document outlines the Provider Credentialing and Recredentialing Policy for Colorado Access, detailing the processes for initial and ongoing credentialing of healthcare providers. It establishes criteria for participation in the provider network and specifies the roles and responsibilities of the Credentials Committee. The policy ensures compliance with NCQA standards and incorporates non-discriminatory practices in decision-making. Ongoing monitoring and quality assurance practices are also highlighted to maintain a high standard of care throughout the credentialing process.