§965.140. Required Policies and Procedures

a)         Each health care entity, health care plan, hospital, or other credentialing entity shall adopt on or before January 1, 2002 and implement a policy or policies on the process of credentialing and credentials verification within their organization, including requests for additional information and confidentiality of information.

 

b)         Each health care entity and health care plan shall complete the process of verifying a health care professional's credentials data in a timely fashion and shall complete the process of credentialing or recredentialing of the health care professional within 60 days after the submission of all credentials data and completion of verification of the credentials data to be used in credentialing and recredentialing.  (Section 15(f) of the Act)

 

c)         The credentialing data noted as "confidential information" in the uniform forms in this Part are confidential as provided by law, including, but not limited to, Section 15(h) of the Act, Section 10.4 of the Hospital Licensing Act [210 ILCS 85/10.4] and Part 21 of Article VIII of the Code of Civil Procedure [735 ILCS 5/Art. VIII, Part 21], and otherwise may not be redisclosed without written consent of the health care professional.

 

d)         To make the form beneficial and effective for health care professionals, health care entities, health care plans, and hospitals, additional commonly collected business data are also being collected in the form.  Nothing in the Act or this Part shall be considered to prohibit sharing of business data for business purposes of the health care entity, health care plan, or hospital.

 

e)         Health care entities, health care plans and hospitals may delegate credentialing and recredentialing activities.