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Pennsylvania Behavioral Health Program Facility Credentialing and Re credentialing Application This application is used for the organization provider network of the Behavioral Health Managed Care
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How to fill out facility credentialing and re-credentialing

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How to fill out facility credentialing and re-credentialing

01
To fill out facility credentialing and re-credentialing, follow these steps:
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Gather all necessary documents and information, such as your personal identification, professional licenses, and educational qualifications.
03
Contact the facility's credentialing department or administrator to inquire about the specific forms and requirements for credentialing and re-credentialing.
04
Complete the application form accurately and provide all requested information, including your educational background, work history, and professional references.
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Attach copies of supporting documents, such as diplomas, certifications, and licenses.
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Ensure that all information provided is up-to-date and matches the documents submitted.
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Submit the completed application and supporting documents to the facility's credentialing department or administrator.
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Follow up with the facility to ensure that your application has been received and is being processed.
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Cooperate with any further requests or inquiries from the credentialing department, such as attending an interview or providing additional documentation.
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Await notification of your credentialing status from the facility.
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If approved, ensure that you comply with any ongoing requirements for re-credentialing, such as providing updated documentation or participating in continuing education.

Who needs facility credentialing and re-credentialing?

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Facility credentialing and re-credentialing is typically required for healthcare professionals who wish to work or provide services at a particular medical facility. This includes:
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- Physicians
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- Nurses
04
- Dentists
05
- Pharmacists
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- Physical therapists
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- Occupational therapists
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- Allied health professionals
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- Specialists
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- Medical technicians
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- Other healthcare providers
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Credentialing and re-credentialing help ensure that healthcare professionals meet the facility's standards and qualifications, ensuring the quality and safety of patient care.
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Facility credentialing is the process of verifying a healthcare facility's qualifications and ability to provide services. Re-credentialing is the ongoing process of reviewing and updating this information to ensure continued compliance.
Healthcare facilities, such as hospitals, clinics, and long-term care facilities, are required to file for facility credentialing and re-credentialing.
Facility credentialing and re-credentialing forms can typically be completed online or through a designated credentialing platform. The forms require detailed information about the facility's qualifications, services, and staff.
The purpose of facility credentialing and re-credentialing is to ensure that healthcare facilities maintain the necessary qualifications, standards, and staff to provide safe and effective care to patients.
Information that must be reported includes facility accreditation, licensure, staff credentials, services provided, patient outcomes, and quality improvement measures.
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