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8.6.8.5 Credentialing Grievance Committee
The Credentialing Grievance Committee reviews provider requests for reconsideration of credentialing decisions. Applicants who are not approved are notified by certified mail of the denial, the reason for the denial, and the process for reconsideration. Applicants may request reconsideration by submitting evidence that the deficiencies for which the original application was denied have been corrected.
A provider has 30 days to request a reconsideration of a recredentialing denial to the Credentialing Grievance Committee. Such requests must be in writing and submitted to the following address:
Primary Care Case Management
Credentialing Grievance Committee
Credentialing Mail Code MC-B05
PO Box 204270
Austin, TX 78720-4270
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