Service and Quality Requirements
Provider Type
- Participating Physician Groups (PPG)
- Hospitals
- Physicians
- Ancillary
This section includes information on requirements for adding or removing a participating provider.
Select any subject below:
- Access to Care and Availability Standards
- Open Clinical Dialogue
- Threshold Languages and Language Assistance Codes
- Claims Denials
- Claims Payment Requirements
- Authorization and Referral Timelines
- Credentialing and Recredentialing
- Eligibility and Data Entry Requirements
- Obtaining Interpreter Services
- Quality Improvement Problem Resolution