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007.05.1-XII. PROFESSIONAL STAFFING.

AR ADC 007.05.1-XIIArkansas Administrative Code

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 1. Rules and Regulations for Health Maintenance Organizations in Arkansas
Ark. Admin. Code 007.05.1-XII
007.05.1-XII. PROFESSIONAL STAFFING.
A. An HMO shall have sufficient numbers of physicians and other Health Professionals, either as employees or by contract, to adequately cover the health care needs of Enrollees.
B. There shall be established a credentials committee charged with the responsibility of reviewing each physician and other Health Professionals, as established by the policies and procedures of the HMO, to determine that the Health Professionals are properly credentialed in Arkansas. This committee shall conduct reviews of said personnel at intervals necessary to assure appropriate licensure and certification.
C. In addition to other requirements, the Medical Director of the HMO shall be involved in the implementation of protocols for the credentials committee, protocols for quality assurance, and programs for continuing education for Health Professionals.
D. The HMO shall define procedures for taking corrective action against any Provider whose conduct is detrimental to public safety or the delivery of care, or disruptive to the operation of the HMO.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.1-XII, AR ADC 007.05.1-XII
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