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MN UCare Uniform Facility Credentialing Application 2018 free printable template

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MINNESOTA UNIFORM FACILITY CREDENTIALING APPLICATIONInitial CredentialingRecredentialingAPPLICATION INSTRUCTIONS ALL fields must be completed unless otherwise directedAdditional instructions are bolded
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How to fill out MN UCare Uniform Facility Credentialing Application

01
Start by downloading the MN UCare Uniform Facility Credentialing Application form from the UCare website.
02
Fill out the facility information section, including the facility name, address, and contact details.
03
Provide details about the facility's ownership and governance structure.
04
Include information regarding the types of services offered at the facility.
05
Fill in the relevant licensing and accreditation details.
06
Provide information about the facility's history, including any legal actions or complaints.
07
Complete the staff information section, detailing key personnel and their qualifications.
08
Attach any required documents, such as proof of accreditation or licenses.
09
Review the application for completeness and accuracy.
10
Submit the application through the designated submission method outlined by UCare.

Who needs MN UCare Uniform Facility Credentialing Application?

01
Health care facilities seeking to participate in UCare's provider network.
02
Hospitals, outpatient clinics, and other health service providers that need to establish credentialing.
03
Facilities looking to ensure compliance with UCare's policies and requirements.
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The MN UCare Uniform Facility Credentialing Application is a standardized application used by healthcare facilities in Minnesota to credential and verify the qualifications of providers seeking to participate in UCare's network.
Healthcare facilities that wish to participate in UCare's network and provide services must file the MN UCare Uniform Facility Credentialing Application.
To fill out the MN UCare Uniform Facility Credentialing Application, gather all necessary documentation, complete the application form accurately, and submit it according to the guidelines provided by UCare.
The purpose of the MN UCare Uniform Facility Credentialing Application is to ensure that healthcare facilities meet the necessary standards and have qualified personnel to provide safe and effective care to patients.
The MN UCare Uniform Facility Credentialing Application requires reporting information such as facility ownership details, service offerings, staffing information, accreditation status, and any legal or disciplinary history.
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