What is the basis for the ACPCI to approve or deny recommendations from interested parties to revise the Oregon Practitioner Credentialing and Recredentialing Applications?
, the information collected on the Applications must represent the “minimum uniform credentialing information required by the affected credentialing organizations.”
also states that the information on the Applications “complies with credentialing standards developed by national accreditation organizations and applicable regulations of the federal government.” The ACPCI endeavors to approve recommendations that adhere to the statutory authority given to them and approve only those recommendations that benefits the entire credentialing field.
What is the process for informing interested parties of changes to the credentialing applications and when is the solicitation period open for recommendations to revise the Applications?
Interested parties are informed about the opening of the solicitation period through emails from the GovDelivery System. The solicitation period opens in the Fall of every year, typically 4-6 weeks before the ACPCI convenes. If you would like to subscribe to ACPCI updates, please follow
How often are the credentialing applications updated?
The Applications are updated as often as annually based on recommendations made by the ACPCI to the Director of OHA. The ACPCI meets on an annual basis to review and vote on recommendations from interested parties. The Applications are updated approximately 3-4 months after the Committee adjourns.
Note* - the Applications were not updated in 2020 due to the suspension of the Committee during the COVID-19 pandemic.
What is the role of the state in credentialing?
The role of the state (currently coordination of the ACPCI is under the purview of the Oregon Health Authority) is to staff and coordinate the ACPCI, and update and publish the Oregon Practitioner Credentialing and Recredentialing Applications based on the Committee’s recommendations. Credentialing is not governed by the state and the state cannot answer any legal questions or give direction on how to answer any questions on the Applications.
The state is not involved in the credentialing process, which includes the processing of credentialing applications.
Are credentialing reappointment timelines governed by the State?
Except in the case of telemedicine providers and Managed Care Entities (MCEs), credentialing reappointment timelines are not governed by the state.
(6) states “To become recredentialed by an originating-site hospital or health care facility, every two years a telemedicine health care practitioner or the distant-site hospital or health care facility must provide a completed current Oregon Practitioner Recredentialing Application and all other information required in OAR 409-045-0120.”
(1)(a) states “MCEs shall ensure that all participating providers as defined in OAR 410-141-3500 providing coordinated care services to members are credentialed upon initial contract with the MCE and re-credentialed no less frequently than every three years.”
When does the ACPCI convene?
The ACPCI convenes at least once each calendar year, typically in January or February. The schedule is contingent on the availability of Committee members. A quorum of the Committee, i.e., a majority, must be present to vote on recommended changes to the Oregon Practitioner Credentialing and Recredentialing Applications.