Consultation in Development of Credentialing Policies

20.2 - Consultation in Development of Credentialing Policies (Rev. 24, 06-06-03) Credentialing and recredentialing standards for types of providers and for specialists should be reviewed by clinical peers, through establishment of a credentialing committee or other mechanism. In addition, there should be a process for peer review when the MA organization is considering employing or contracting with a provider who does not meet its established credentialing standards. (Source: 42 CFR 422.204(b)(2)(iii) and additional instructions.)