Exam (elaborations)
URAC HEALTH PLAN ACCREDITATION GUIDE, VERSION 7.3 2024
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URAC HEALTH PLAN ACCREDITATION GUIDE, VERSION 7.3 2024
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URAC HEALTHPLAN
ACCREDITATION
GUIDE, VERSION
7.3 2024
Ability to Perform
Clinical Privileges Requested (Health
Status) - answer Application includes
disclosure of any physical, mental, or
substance abuse problems that could,
without reasonable
accommodation, impede
the practitioner's ability to provide care
according to accepted standards of
professional performance or pose a threat to
the health or safety of patients.
, Allied Health
Professionals/ Non-
Physician
Practitioners - answer All practitioners who
are participating providers and who provide
covered health care services to consumers
and those who appear in the organization's
provider directory are credentialed.
The organization verifies the qualifications of
all AHPs that may provide clinical services to
consumers through a written agreement with
the organization.
Applicant Identity - answer Not specifically
addressed. URAC
Appointment
Timeframe - answer Recredential at least
every three years. URAC counts the three-
year cycle to the month. For example, if the
organization credentials a practitioner on
January 5, 2018, the practitioner must be
recredentialed by the end of January 2021.
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