19 Miss. Code. R. 3-11.07 - Uniform Application for Physician Credentialing and Recredentialing

A. In order to simplify the application process for physicians who are applying to multiple managed care entities, the Commissioner hereby adopts a basic uniform credentialing application which shall be used by all managed care entities performing physician credentialing and recredentialing activities in Mississippi. The uniform application is attached hereto as Exhibit "A" and hereby made a part of this Regulation.

B. The uniform application may be augmented by an individual managed care entity for the purpose of obtaining additional necessary and material information which is not requested in the uniform application, and further, for the purpose of providing more detailed instructions regarding the completion and submission of the application. The additional information/instructions may only be requested/provided on supplemental sheets which are attached to the uniform application. Any proposed supplemental sheets must be submitted by the managed care entity to the Commissioner for prior approval.

C. The form prescribed by this Section shall apply only to the credentialing and recredentialing of physicians.

Notes

19 Miss. Code. R. 3-11.07

Miss Code Ann §§ 83-5-1; 83-41-413 (Rev. 2011)