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7.5.8.1 Credentialing Committee
The Credentialing Committee is charged with the responsibility of reviewing each provider applicant's file to ensure that enrolling physicians and other health-care professionals are qualified to perform services as PCCM providers.
The committee reviews each provider applicant's file and decides whether the provider should be recommended to the HHSC Medical Director as a primary care provider in the PCCM provider network. If HHSC approves the recommendation, the provider is accepted as a participating provider for three years.
The Credentialing Committee is also charged with the responsibility of recredentialing PCCM providers, which occurs every three years after initial credentialing.
The Credentialing Committee also reviews and approves credentialing policies and procedures for PCCM.
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