
Get the free Facility Credentialing and Re-credentialing Application - Providers -PerformCare. Fa...
Show details
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
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign facility credentialing and re-credentialing

Edit your facility credentialing and re-credentialing form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your facility credentialing and re-credentialing form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit facility credentialing and re-credentialing online
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit facility credentialing and re-credentialing. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
Dealing with documents is always simple with pdfFiller. Try it right now
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out facility credentialing and re-credentialing

How to fill out facility credentialing and re-credentialing
01
To fill out facility credentialing and re-credentialing, follow these steps:
02
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.
05
Attach copies of supporting documents, such as diplomas, certifications, and licenses.
06
Ensure that all information provided is up-to-date and matches the documents submitted.
07
Submit the completed application and supporting documents to the facility's credentialing department or administrator.
08
Follow up with the facility to ensure that your application has been received and is being processed.
09
Cooperate with any further requests or inquiries from the credentialing department, such as attending an interview or providing additional documentation.
10
Await notification of your credentialing status from the facility.
11
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?
01
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:
02
- Physicians
03
- Nurses
04
- Dentists
05
- Pharmacists
06
- Physical therapists
07
- Occupational therapists
08
- Allied health professionals
09
- Specialists
10
- Medical technicians
11
- Other healthcare providers
12
Credentialing and re-credentialing help ensure that healthcare professionals meet the facility's standards and qualifications, ensuring the quality and safety of patient care.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I modify my facility credentialing and re-credentialing in Gmail?
You may use pdfFiller's Gmail add-on to change, fill out, and eSign your facility credentialing and re-credentialing as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.
How can I send facility credentialing and re-credentialing to be eSigned by others?
When you're ready to share your facility credentialing and re-credentialing, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.
How do I make changes in facility credentialing and re-credentialing?
pdfFiller not only allows you to edit the content of your files but fully rearrange them by changing the number and sequence of pages. Upload your facility credentialing and re-credentialing to the editor and make any required adjustments in a couple of clicks. The editor enables you to blackout, type, and erase text in PDFs, add images, sticky notes and text boxes, and much more.
What is facility credentialing and re-credentialing?
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.
Who is required to file facility credentialing and re-credentialing?
Healthcare facilities, such as hospitals, clinics, and long-term care facilities, are required to file for facility credentialing and re-credentialing.
How to fill out 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.
What is the purpose of facility credentialing and re-credentialing?
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.
What information must be reported on facility credentialing and re-credentialing?
Information that must be reported includes facility accreditation, licensure, staff credentials, services provided, patient outcomes, and quality improvement measures.
Fill out your facility credentialing and re-credentialing online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Facility Credentialing And Re-Credentialing is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.