April 30, 2024
Providers are encouraged to update and attest to their Council for Affordable Quality Healthcare profiles every four months by logging into the CAQH ProView database. Review to ensure your information and supporting documents are accurate and current, and update or re-attest as necessary.
Providers most often fail re-credentialing due to the following items being outdated or missing on their CAQH profile:
- Attestation is outdated.
- Missing a copy of current malpractice insurance listing the provider’s name or a roster with the provider’s name on the insurance company’s letterhead.
- Missing Montana DEA license or a completed prescribing authority form.
- Physicians (MDs and DOs): If you do not have current admitting privileges, provide a formal letter signed by the physician or a physicians group who have agreed to admit and care for your patients as necessary is required. Admitting physicians must be the same specialty, located in the practicing physician's community, and provide 24/7 coverage.
The Council for Affordable Quality Healthcare, Inc. (CAQH) is a not-for-profit collaborative alliance of the nation's leading health plans and networks. The mission of CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staff. CAQH is solely responsible for its products and services, including ProView.