URAC P-CR 17 & N-CR 17 -- v. 5.1 Proposed Revision -- Credentialing Delegation
The version 5.0 standard CR 17 for both Health Plan and Health Network requires that, where the organization delegates credentialing through the Core module's processes, it also retains authority on the final credentialing decision on all providers and surveys the credentialing contractors at least every three years.:
The proposed revision would change the survey requirement, easing it to allow for a choice between an onsite survey or a remote survey that involves randomly requesting to see credentialing files with 24 hours notice.
The word "survey", used here and in Core 17 , also dealing with delegation, has always been a bit confusing to some URAC applicants. This language addresses that confusion head-on, at least for delegation of credentialing. The term remains undefined for other forms of delegation, however, and I wouldn't be surprised to see the Core delegation standards amended in some future version along the lines of this revision.
