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1555 N. RiverCenter Dr., Suite 202A, Milwaukee, WI 53212, 414-223-4847
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Credentialing

Independent Care Health Plan credentials organizational providers a minimum of once every three years, or more often, as necessary.

The following general criteria constitute the minimum requirements necessary to be considered for Independent Care credentialing.

Credentialing Criteria

1. A current valid, unrestricted Wisconsin license or certification if licensure is not available

2. Medicare and Wisconsin Medicaid certification

3. A current valid unrestricted Drug Enforcement Administration (DEA) certificate, if applicable to profession

4. Current professional liability insurance adequately meeting minimum state requirements as defined  by State of Wisconsin Statute and Administrative Code relating to practice of Medicine number 655.23

5. Completed appropriate education and training for applied specialty according to American Board of Medical Specialties (ABMS) (as applicable)

6. Current unrestricted admitting privileges at an Independent Care participating hospital, if applicable.  If privileges are not present the Credentials Review Committee may consider a waiver following review of coverage arrangements.  Provider must give written evidence of coverage by a participating Independent Care provider or facility.

7. Acceptable malpractice liability claims history

8. Demonstrates sanction-free status by federal and state regulatory authorities

9. Demonstrates lack of physical or mental impairment, including chemical dependency, that may impair the provider’s ability to practice or may pose a risk of harm to patients