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

Agency For Health Care Administration
Managed Care Organizations
Physician Credentialing and Recredentialing File Review Tool
meeting established thresholds. N
N/A
23. There is evidence that recredentialing occurs at least every 36 months.
24. There is evidence that the recredentialing process includes a review of complaints and results
of QI activities.
Total # Applicable Elements
Total # Compliant Elements
Total Percent Compliant
Managed Care Organizations Page 5
Phys Credentialing and Recredentialing File Review Tool F2_07_11
Florida Medicaid
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A
N
N/A
Y
N
N/A
Y
N
N/A