Centers Plan for Healthy Living’s credentialing standards fully comply with the National Committee on Quality Assurance (NCQA) as well as specific state and federal requirements.

Licensed Independent Practitioners — Credentialing Requirements

Licensing and Certification

• Current license or certification in the state(s) in which the care provider will be practicing (no temporary licenses)
• National Provider Identification (NPI) number
• Active Drug Enforcement Agency (DEA) number and/or Controlled Dangerous Substance (CDS) Certificate or acceptable substitute (if required)
• Medicare/Medicaid participation eligibility or certification (if applicable)

Facilities — Credentialing Requirements

Each facility must meet the following criteria to be considered for credentialing:

• Current required license(s)
• General/comprehensive liability insurance
• Errors and omissions (malpractice) insurance
• Proof of Medicare/Medicaid program participation eligibility
• Appropriate accreditation by a recognized agency, or satisfactory alternative
• Centers for Medicare & Medicaid Services (CMS) certification