98-05: Credentialing for Independent Contracted Providers | 98-05_Attachment_A-Provider_Standards_Attestation_Form_Individual_10-25-19

Attachments: None
Original policy date: 1/13/98 

December 14, 2005; March 13, 2013; July 28, 2016; November 30, 2016;
October 25, 2019; January 16, 2020

ATTACHMENT: Attachment A: Provider Standards Attestation Form [Provider Application