Timely Provider Credentialing - Specialty Providers

The percent of clean and complete Specialty Provider applications for which the MCO or subcontractor credentials the specialty provider and the specialty provider is sent notice of enrollment within 45 days of receipt of the application. 

  • Subcontractors and sister agencies designated to do credentialing are included in the measure.
  • Providers designated by an MCO to do their own credentialing are excluded from this measure.
  • Specialty providers include Durable Medical Equipment (DME) and Optometry providers.

Measure Identifier: TIMELYCRED.02

Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

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Data