Option 1-Broad
Agreement to Accept Hospital’s Credentialing:
In lieu of requiring Provider’s physicians to submit to Plan’s credentialing process, Plan shall rely upon certification from [insert name] Hospital attesting to the fact that Provider’s physicians have been properly credentialed in accordance with Hospital’s credentialing policies and procedures. In such case, Plan shall obtain a description of hospital’s credentialing process, policies and procedures directly from Hospital. Provider shall provide to Plan the names of all physicians who are credentialed and approved in accordance with this Paragraph on a continuing basis.

Option 2-Restrictive
a. Agreement to accept Hospital / IDN / PHO credentialing.
PHO and its Participating Providers shall at all times be subject to, use best efforts to meet and comply with, Plan’s credentialing policies and procedures. Plan will accept the credentialing done by PHO of its Participating Providers, as an alternative to Participating Provider’s participation in Plan’s credentialing process, as long a s PHO’s credentialing policies and procedures continually meet Plan’s credentialing criteria. PHO shall submit its credentialing policies and procedures to Plan for approval. If Plan gives its approval, PHO shall accept full and complete responsibility for the credentialing of its Participating Providers.
b. Plan Right to Inspect.
PHO agrees to permit Plan, during normal business hours or at such other time as may be agreed upon by the parties, to inspect and review a random sample of provider applications and credentialing files to ascertain compliance with PHO’s credentialing policies and procedures.
c. Revisions Subject to Approval.
Hospital and Medical Group further agrees that if it revises its credentialing policies and procedures, such revisions shall be provided to Plan at least thirty (30) days prior to their effective date. If Plan determines that revised policies and procedures result in     the failure of PHO’s credentialing policies and procedures to meet the credentialing criteria established by the Plan, Plan shall have the right to immediately terminate its acceptance of PHO’s credentialing and to require that all PHO Participating Providers be credentialed in accordance with Plan’s credentialing policies and procedures.