RECOMMENDATION(S):
Approve the list of providers recommended by Contra Costa Health Plan’s Peer Review and Credentialing Committee, and the Health Services Director on July 13 2021, as required by the State Departments of Health Care Services and Managed Health Care, and the Centers for Medicare and Medicaid Services.
FISCAL IMPACT:
There is no fiscal impact.
BACKGROUND:
The National Committee on Quality Assurance (NCQA) requires that evidence of Board of Supervisors approval must be contained within each Contra Costa Health Plan (CCHP) provider’s credentials file. Approval of this list of providers, as recommended by the CCHP Medical Director, will enable the CCHP to comply with this requirement.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, Contra Costa Health Plan’s providers would not be appropriately credentialed and not be in compliance with the NCQA.
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