Credentialing
Thomas A. Flanagan, M.D., Director
Crystal Bryan, M.A., Credentialing Manager

The purpose of the Credentialing Department is to ensure that clinicians meet specific standards of professional qualification and that PCSD can deliver covered Behavioral Health Care Services in geographically appropriate locations. PCSD has developed and adopted standards of credentialing and recredentialing for each individual behavioral health care provider.

The credentialing and recredentialing standards meet or exceed requirements set forth by the NCQA (National Committee on Quality Assurance).

The credentialing and recredentialing program covers the following processes and procedures:

	Review of practitioner credentialing and recredentialing information*
	Decisions regarding provider admission and/or continuing participation with PCSD*
	Ongoing review of provider performance*
	Review of network data regarding geographic accessibility and availability of specific treatment modalities or types and making recommendations for network enhancements*
	The processes in place to periodically assess Credentialing and Recredentialing activities*

Therapists/Allied Therapists
The Credentialing Process will be completed prior to:

Any referral of patients

Any provider employment or contracting agreement becoming effective

Listing a provider as a PCSD provider in any community liaison and information materials

The Recredentialing Process is completed every two years.

* Must be 2-3 years post licensure

* Must be ANCC Certified