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This application is used by the Sacramento County Department of Health Services, specifically the Division of Behavioral Health, for registering and credentialing staff for Specialty Mental Health Services. It includes sections for agency information, applicant details, qualification verification, attestation questions, and network adequacy information.
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What is staff registration credentialing application?
A staff registration credentialing application is a formal document used by healthcare facilities to verify the qualifications and credentials of their staff members, ensuring compliance with regulatory requirements.
Who is required to file staff registration credentialing application?
Healthcare professionals, including physicians, nurses, and allied health staff, are typically required to file a staff registration credentialing application as part of the hiring process in healthcare organizations.
How to fill out staff registration credentialing application?
To fill out a staff registration credentialing application, one must provide personal information, educational background, work history, professional certifications, and any disciplinary actions or malpractice claims.
What is the purpose of staff registration credentialing application?
The purpose of the staff registration credentialing application is to ensure that all healthcare providers meet the necessary qualifications and standards to deliver safe and effective patient care.
What information must be reported on staff registration credentialing application?
The application must report personal identification details, educational history, professional licenses, board certifications, work experience, and any legal or disciplinary issues.
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