Section 26-A4201. APPLICATION FOR BECOMING CREDENTIALED OR RE-CREDENTIALED

4201.1Each health insurer or its credentialing intermediary, and § 44-501(a) entities shall accept the current credentialing/re-credentialing form attached to this chapter as Appendix 39-1 as the sole application for credentialing and re-credentialing of a healthcare provider for participation on a provider panel.

4201.2A copy of the “Provider Application” may be obtained from the department.

4201.3The “Provider Application” form is available in hard copy and on-line at the department’s website at www.disr.dc.gov

authority

The Commissioner of the Department of Insurance, Securities and Banking (“Commissioner”), pursuant to the authority set forth in § 104 of the Health Insurers and Credentialing Intermediaries Uniform Credentialing Form Amendment Act of 2001, effective April 13, 2002 (D.C. Law 14-96; D.C. Official Code § 31-3254 (2005 Supp.)).

source

Notice of Final Rulemaking published at 53 DCR 6531 (August 11, 2006).