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Centers Plan for Healthy Living’s credentialing standards fully comply with the National Committee on Quality Assurance (NCQA) as well as specific state and federal requirements.

Licensed Independent Practitioners — Credentialing Requirements

Licensing and Certification

  • Current license or certification in the state(s) in which the care provider will be practicing (no temporary licenses)
  • National Provider Identification (NPI) number
  • Active Drug Enforcement Agency (DEA) number and/or Controlled Dangerous Substance (CDS) Certificate or acceptable substitute (if required)
  • Medicare/Medicaid participation eligibility or certification (if applicable)

Facilities — Credentialing Requirements

Each facility must meet the following criteria to be considered for credentialing:

  • Current required license(s)
  • General/comprehensive liability insurance
  • Errors and omissions (malpractice) insurance
  • Proof of Medicare/Medicaid program participation eligibility
  • Appropriate accreditation by a recognized agency, or satisfactory alternative
  • Centers for Medicare & Medicaid Services (CMS) certification