(410 ILCS 517/20)
Sec. 20. Single credentialing cycle.
(a) The Department shall by rule
establish a single credentialing cycle. The single credentialing cycle shall
be based on a specific variable or variables. To the extent possible the
single credentialing cycle shall be established to ensure that the credentials
data of all health care professionals in a group or at a single site
are collected during the same time period. However, nothing in this Act
shall be construed to require the single credentialing cycle to be established
to ensure that the credentials data of all health care professionals in a group
or at a single site are collected during the same time period.
(b) Beginning July 1, 2002, all health care entities
and health care
plans shall obtain credentials data on all health care
professionals according to the established single credentialing cycle.
(c) The Department shall by rule
establish a process to exempt a small or unique health care entity
or small or unique health care plan from the single credentialing cycle if
the health
care entity or health care plan demonstrates to the Department that
adherence to the single credentialing cycle would be an undue hardship for the
health care entity or health care plan.
(d) The requirements of this Section shall not apply when a health care
professional submits initial credentials data to a health care
entity or health care plan outside of the established single credentialing
cycle, when a health care professional's credentials data change
substantively, or when a health care entity or health care plan requires
recredentialing as a result of patient or quality assurance issues.
(Source: P.A. 103-436, eff. 8-4-23.)
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