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Credentialing application form used by the Council for Affordable Quality Healthcare (CAQH), or a similar, nationally recognized form prescribed by the Commissioner. The law further directs that the credentialing application form, prescribed by the Commissioner, must be used beginning January 1, 2007 by an insurer or a hospital that performs credentialing. In the final bulletin HCA-122 distributed on December 12, 2006, the Department prescribes that insurers and hospitals use the CAQH.

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