Policy: 25-04 Credentialing and Re-Credentialing BHRS Providers

Attachments
Attachment A: Credentialing Committee Member Non-Discrimination and Confidentiality Statement
Attachment B: Excel Spreadsheet for Monthly Provider Verifications
Attachment C: Credentialing Checklist (internal use only)
Attachment D: Attestation for Providers Applying for Credentialing or Re-Credentialing
Attachment E: Acknowledgment of Receipt of BHRS HIPAA Policies
Attachment F: BHRS Form 700 – Contractor Agency
Attachment G: MH Contractor Credentialing Termination
Attachment H: AOD Contractor Credentialing Termination
Attachment I: San Mateo County Health A-14 Policy — Conflict of Interest, Incompatible Activities and Outside Employment for Employees of County of San Mateo Health
Attachment J: Employee Statement Regarding Conflicts of Interest, Incompatible Activities, and Outside Employment
Attachment K: BHRS Attestation for Conditions of Outside Employment