CR301: Provider Credentialing and Recredentialing Policy

The CR301 policy provides a comprehensive framework for the credentialing and recredentialing of healthcare providers at Colorado Access. It defines procedures, criteria for evaluation, and non-discrimination principles, ensuring a high-quality provider network. The policy emphasizes the importance of primary source verification and ongoing monitoring of provider qualifications. Additionally, it includes guidelines for the Credentials Committee’s responsibilities and the processes involved in managing provider applications. Regular updates and audits are also incorporated to maintain compliance with relevant standards and regulations.