WebPrimeWest on discovering and correcting these issues. A health plan must have a well-defined credentialing and recredentialing process for evaluating and selecting licensed … WebPrimeWest on discovering and correcting these issues. A health plan must have a well-defined credentialing and recredentialing process for evaluating and selecting licensed independent practitioners to provide care to its members. MDH found that credentialing policies/procedures included the following errors or omissions:
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Medica Coverage Policies for Providers
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