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Thursday, May 17, 2012

NCQA Required Credentials for Chiropractors The National Center for Quality Assurance (NCQA) defines standards for the appropriate credentialing of many health care professionals. Under these standards, there are some specific stipulations about how the credentials are to be determined. Contact NCQA for official information.

In the following chart, the FCLB lists its unofficial understanding of how the NCQA standards apply to the chiropractic profession. For many of these credentials, one of the CIN-BAD databases can or will be able to provide reliable and convenient information.

Credential Source - Options Notes
License to practice State Board CIN-BAD's next phase ALLDoCS, is under development - we hope to secure NCQA recognition as an acceptable alternative soon.
Chiropractic college graduation Chiropractic College
or 
State Board if it conducts primary verification of this credential
CIN-BAD may be able to offer this verification in its next phase.
Hospital clinical privileges Hospital  
Professional liability claims settlement history Last 5 years history from the carrier
or
NPDB
or
attestation by applicant
(effective 3/1/00)
 
Evidence of malpractice coverage primary source verification from carrier
or
attestation by applicant
(effective 3/1/00)
 
Sanctions, restrictions, and/or limitations in scope of practice, as defined by the State Board of Examiners Individual state boards
or
CIN-BAD
NPDB does NOT carry board actions for chiropractors.

HIPDB is NOT recognized as an acceptable source by NCQA.

 

Medicare/Medicaid (DHHS) sanctions USPHS website - Cumulative Sanctions Report
or
CIN-BAD for chiropractors
CIN-BAD has the list from the USPHS website with chiropractic information extracted and linked to the board actions.

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