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Credentialing for Independent Contracted Providers: 98-05
Managed Care

BHRS Policies BHRS Doc Owner: Assistant Director

98-05: Credentialing for Independent Contracted Providers98-05_Attachment_A-Provider_Standards_Attestation_Form_Individual_10-25-19



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

AMENDED: December 14, 2005; March 13, 2013; July 28, 2016; November 30, 2016; October 25, 2019
ATTACHMENT: Attachment A: Provider Standards Attestation Form [Provider Application

Last review: October 25, 2019

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