US · guidance
CMS Pub. 100-16, ch. 6, § 20.2
Consultation in Development of Credentialing Policies
Credentialing and recredentialing standards for types of providers and for specialists
should be reviewed by clinical peers, through establishment of a credentialing committee
or other mechanism. In addition, there should be a process for peer review when the MA
organization is considering employing or contracting with a provider who does not meet
its established credentialing standards.
(Source: 42 CFR 422.204(b)(2)(iii) and additional instructions.)
History
(Rev. 24, 06-06-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a2e858c2264d6a2af747a9634255c14f5864b60ccacf6c6872b7379798252dbd
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