Occupational Therapy Licensing Board

Common Credentialing Rule Notice Information

Many health care practitioners have received a rule notice from the Oregon Health Authority. Only Oregon health care practitioners that are credentialed and would be impacted by these rules. Credentialed health care practitioners are generally those that are licensed independent practitioners that treat patients in a health care facility and receive reimbursement by health plans rules. Credentialing is the standardized process of inquiry undertaken by credentialing organizations (such as health plans, hospitals, and others) to validate specific information that confirms a health care practitioner's identity, background, education, competency and qualifications related to a specific set of established standards or criteria. The Oregon Common Credentialing Program is centralizing the collection and verification of credentialing information into one electronic system that organizations will have to access to get the information, rather than each of the plans or other organizations independently collecting and verifying it. Rg0

 

While credentialed practitioners are required to begin using the system November 5, 2018, they do not have to complete their application until the next time they are due to be credentialed or recredentialed although it is recommended to do so 90 days prior to allow time for OHA and organizations to work through the credentialing process. The Program is funded by fees to practitioners and credentialing organizations. Practitioners will pay a one-time application fee of $150 per person that is due on April 30, 2019. Credentialing organizations will also pay a one-time setup fee, and then pay annually based on their practitioner panel size.

 

Visit the Program’s website for more information and to sign up to receive notifications of meeting and website updates. Here is the link:  http://www.oregon.gov/oha/hpa/ohit-occp/pages/index.aspx