Credentialing Accreditation is for organizations that provide full scope credentialing services. Eligible organizations:
- Must not be licensed as an HMO, POS, PPO or EPO.
- Must not be eligible for NCQA Accreditation as a health plan or an MBHO.
- Must perform credentialing functions directly or through a contract.
- Must perform credentialing activities for at least 50% of a practitioner network.
Note: A “practitioner network” is the practitioner network of clients and organizations.