URAC P-CR 13& N-CR 13 -- v. 5.1 Proposed Revision -- Credentialing Determination Notification

The v. 5.0 standard in both the Health Plan and Health Network standards required notification to providers of the determination on the application for credentialing no more than 60 calendar days after the determination.  The new, v. 5.1 version changes the time line to 10 business days. 

Note that this revision carries two important changes. The substantive change is to reduce the notification requirement deadline from 60 calendar days to 10 business days, slicing about 6 weeks off the process. While most of our clients will meet the new timeline, some applicants will have to tighten up their processes.

The second change is an increase in the weight from 3 to 4. Because this is a single-element standard, however, we believe that it will carry less relative weight in the new system than it does now.