Credentials requirements

If your agency assigns licensed health care professionals to provide services under your contract with Public Health – Seattle & King County, the following becomes material to this contract and non-compliance with these requirements and any failure to submit the required forms will be cause for termination of the contract in accordance with Section II of the contract:

1. If a licensed health care professional provides health care services at a Public Health - Seattle & King County clinic or site, each health care professional must initially register within 10 days of beginning to provide health care services by completing a Licensed Independent Practitioner Profile form. This form can be obtained by contacting Public Health Credentials Office at 206-263-8360. As additionally required, each practitioner must further complete enrollment forms, provide copies of credentials, National Provider Identifier (NPI), and complete an enrollment/credentialing process by healthcare entities and insurance plans (with re-credentialing intervals). Many services are billable and agreements between Public Health and contractors must be complied with. These agreements include practitioner enrollments and are primarily addressed to, but not limited to, independent health care practitioners such as MDs, ARNPs, PAs, Dentists, some mental health care and allied health professionals.
   
   
2. If a licensed health care professional does not perform services at a Public Health clinic, but performs health care services pursuant to this contract, your agency agrees to internally require each practitioner to undergo a credentialing process and meet the essential credentialing standards. (No contact needs to be made to the Public Health Credentials Office and no registration is required.) At a minimum, the following for each of said practitioners must be on file at your agency for annual audits by Public Health:
   
   
   1. Evidence of primary source verification of the practitioner's licensure, certification and/or registration.
   2. Evidence of review and verification of the professional education degree(s).
   3. Evidence of review and verification of professional references.
   4. Evidence of review or history of liability claims and adverse actions.
   5. Evidence of review of the practitioner's health fitness for work.
   6. Evidence of review of any findings from professional review organizations.
   7. Evidence of practice reviews by peers.
   8. Evidence of protocols and procedures that establish a secure environment to safeguard the confidentiality of each practitioner's professional credentials.

If you have any questions about these requirements, please contact your Contract Specialist or the Public Health Credentials Office at 401 Fifth Avenue, Suite 1000, Seattle, WA 98104-1818, Phone: 206-263-8360, Fax: 206-205-6236, Email: joseph.tridente@kingcounty.gov