Letter to CMS - Medicaid Managed Care Policies - Agency for ...

f. Posting of the Agency Summary of Florida’s Patient’s Bill of Rights and Responsibilities
g. The availability of a copy of the Florid a Patient’s Bill of Rights and Responsibilities for
enrollee’s who request a copy of the document.
18. Verification occurs within 180 days of receipt of credentialing/recredentialing application.
19. There is a signed and dated attestation statement concerning the correctness and
completeness of the application.
20. The attestation statement includes:
a. Physical or mental problems that may impact the ability to provide mental health care;
b. History of chemical dependency/substance abuse.
c. History of loss of license and/or felony convictions.
d. History of loss or restriction of privileges or disciplinary actions.
21. There is evidence that a Medical Director or other qualified individual reviews and approves
“clean” credentialing/recredentialing files.
Agency For Health Care Administration
Managed Care Organizations
Physician Credentialing and Recredentialing File Review Tool
22. There is evidence that a peer review body reviews and approves/disapproves files not Y Y Y Y Y Y Y
Managed Care Organizations Page 4
Phys Credentialing and Recredentialing File Review Tool F2_07_11
Florida Medicaid
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e. Y
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