Common Credentialing Rule Notice
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