Credentialing Guide

In 2003, MoAMSS collaborated with the Missouri State Medical Association and the Missouri Association of Health Plans to develop the Physician Credentialing Quick Reference Guide. MoAMSS is pleased to offer this document for you to include with your credentialing applications to further assist physicians with the credentialing process.

MoAMSS Physician Credentialing Quick Reference Guide V.3.0 (word)
Accreditation
National Associations/Organizations
Certification Boards
Illinois
Missouri
Kansas
Credentialing/Verification Resources
Licensing Boards

Accreditation

American Osteopathic Association Health Facilities Accreditation Program
http://do-online.osteotech.org/index.cfm?PageID=acc_main

Centers for Medicare & Medicaid Services
http://www.cms.hhs.gov/default.asp

Joint Commission on Accreditation of Healthcare Organizations
http://www.jcaho.org

National Committee for Quality Assurance
http://www.ncqa.org

Utilization Review Accreditation Comission/AAHCC
http://www.urac.org

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National Associations/Organizations

American Chiropractic Association
http://www.amerchiro.org

American Hospital Association
http://www.aha.org/aha/index.jsp

American Medical Association
http://www.ama-assn.org

American Osteopathic Association
http://www.aoa-net.org

American Podiatric Medical Association
http://www.apma.org

Council for Affordable Quality Healthcare (CAQH)
http://www.caqh.org

Healthcare Provider Credentials Verification Association
http://www.hpcva.org

National Association Medical Staff Services (NAMSS)
http://www.namss.org

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Certification Boards

American Board of Medical Specialties
http://www.abms.org

American Board of Oral/Maxillofacial Surgery
http://www.aboms.org

American Board of Podiatry Surgery
http://www.abps.org

American Osteopathic Association Certification Boards
http://do-online.osteotech.org/index.cfm?PageID=crt_main

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Illinois

Illinois Association of Health Plans
http://www.ilahp.org

Illinois Department of Financial and Professional Registration
http://www.idfpr.com

Illinois Department of Public Health
http://www.idph.state.il.us

Illinois Division of Professional Registration
http://www.ildpr.com/default2.asp

Illinois Hospital Association
http://www.ihatoday.org

Illinois State Mandated Credentialing Forms
http://www.idph.state.il.us/about/credentialing.htm

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Missouri

Greater Kansas City Medical Managers Association
http://www.gkcmma.com

Greater St. Louis MGMA
http://www.mgma-sl.org

Missouri Association of Health Plans
http://www.mahpdata.org/main.asp

Missouri Department of Health Rules & Standards
http://www.health.state.mo.us/LicensingAndCertification

Missouri Department of Insurance
http://www.insurance.state.mo.us/index.htm

Missouri DH&SS (BNDD)
http://www.health.state.mo.us/BNDD

Missouri Division of Professional Registration
http://pr.mo.gov

Missouri Hospital Association
http://web.mhanet.com

Missouri Medical Group Management Association
http://www.mgma-mo.org

Missouri Standard Credentialing Form
http://www.insurance.state.mo.us/industry/forms

Missouri State Medical Association
http://www.msma.org/momed/index.htm

Northland Medical Managers (North Kansas City chapter)
http://www.northlandmm.com

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Kansas

Kansas Board of Healing Arts
http://www.ksbha.org

Kansas Foundation for Medical Care
http://www.kfmc.org

Kansas Health Care Stabilization Fund
http://www.hcsf.org

Kansas Hospital Association
http://www.kha-net.org

Kansas Medical Society
http://www.kmsonline.org

Kansas Regulatory Boards (Other)
http://www.ksbha.org/contacts.html

Kansas State Links
http://www.ksbha.org/links.html

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Credentialing/Verification Resources

Accreditation Council for Graduate Medical Education
http://www.acgme.org

Administrators in Medicine (AIM) Docfinder
http://www.docboard.org

AMA Physician Profiles
https://profiles.ama-assn.org/amaprofiles

American Hospital Directory
http://www.ahd.com/freesearch.php3

AOA Physician Profiles
https://secure.aoa-net.org/webprof

Association of American Medical Colleges
http://www.aamc.org/start.htm

Certifacts
http://www.certifacts.com

Core Privileges – Department of the Navy
http://navymedicine.med.navy.mil/instructions/external/6320-66B.pdf

DEA
http://www.deadiversion.usdoj.gov

Degree Check
http://www.degreechk.com

DegreeVerify (National Student Clearinghouse)
http://www.studentclearinghouse.org/dvev/default.htm

DHHS/OIG List of Excluded Individuals
http://oig.hhs.gov/fraud/exclusions/database.html

Educational Commission for Foreign Medical Graduates
http://www.ecfmg.org

Federal Register
http://www.gpoaccess.gov/index.html

Federation of Chiropractic Licensing Boards
http://www.fclb.org

Federation of Podiatric Medical Boards
http://www.fpmb.org

Federation of State Medical Boards
http://www.fsmb.org

HcPro – Credentialing Info
http://www.hcpro.com/credentialing-privileging

Medicare Conditions of Participation
http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr482_99.html

MedWeb Plus
http://www.medwebplus.com/subject/Schools,_Medical.html

MSSPNexus
http://www.msspnexus.com

National Practitioner Data Bank/Health Integrity and Protection Data Bank
http://www.npdb-hipdb.com

National Technical Information Service
http://www.ntis.gov

UPIN Look-Up
http://upin.ecare.com

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Licensing Boards

Alabama Board of Medical Examiners
http://www.albme.org

Alaska State Medical Board
http://www.dced.state.ak.us/occ/pmed.htm

Arizona Board of Medical Examiners
http://www.bomex.org

Arkansas State Medical Board
http://www.armedicalboard.org/index.asp

Medical Board of California
http://www.medbd.ca.gov

Colorado State Board of Medical Examiners
http://www.dora.state.co.us/medical

Connecticut Medical Examining Board
http://www.dph.state.ct.us

Delaware Board of Medical Practice
http://www.professionallicensing.state.de.us

District of Columbia Board of Medicine
http://www.dchealth.dc.gov/prof_license/services/boards_main.asp

Florida Dept of Health, Division of Medical Quality Assurance
http://www.doh.state.fl.us/mqa

Georgia Composite State Board of Medical Examiners
http://medicalboard.georgia.gov

Hawaii Board of Medical Examiners
http://www.state.hi.us/dcca/pvl/areas_medical.html

Idaho State Board of Medicine
http://www.bom.state.id.us

Illinois Department of Professional Regulation
http://www.idfpr.com

Indiana Health Professions Bureau
http://www.in.gov/hpb

Iowa State Board of Medical Examiners
http://www.docboard.org/ia/ia_home.htm

Kentucky Board of Medical Licensure
http://www.state.ky.us/agencies/kbml

Louisiana State Board of Medical Examiners
http://www.lsbme.org

Maine Board of Licensure in Medicine
http://www.docboard.org/me/me_home.htm

Maryland Board of Physician Quality Assurance
http://www.bpqa.state.md.us

Massachusetts Board of Registration in Medicine
http://www.massmedboard.org

Michigan Board of Medicine
http://www.michigan.gov/cis

Mississippi State Board of Medical Licensure
http://www.msbml.state.ms.us

Missouri State Board of Registration for the Healing Arts
http://pr.mo.gov

Montana Board of Medical Examiners
http://www.discoveringmontana.com/dli/bsd/license/bsd_boards/med_board/board_page.asp

Nebraska Department of Health
http://www.hhs.state.ne.us

Nevada State Board of Medical Examiners
http://medboard.nv.gov

New Hampshire Board of Medicine
http://webster.state.nh.us/medicine

New Jersey State Board of Medical Examiners
http://www.state.nj.us/lps/ca/medical.htm

New Mexico Medical Board
http://www.state.nm.us/nmbme

New York State Board for Medicine
http://www.op.nysed.gov

North Carolina Medical Board
http://www.ncmedboard.org

North Dakota State Board of Medical Examiners
http://www.ndbomex.com

State Medical Board of Ohio
http://med.ohio.gov

Oklahoma State Board of Medical Licensure and Supervision
http://www.osbmls.state.ok.us

Oregon Board of Medical Examiners
http://www.bme.state.or.us

Pennsylvania State Board of Medicine
http://www.dos.state.pa.us/bpoa/cwp/view.asp?a=1104&q=434136&bpoanav=|

Rhode Island Board of Medical Licensure and Discipline
http://www.docboard.org/ri/main.htm

South Carolina Department of Labor, Licensing and Regulation Board of Medical Examiners
http://www.llr.state.sc.us/pol/medical

South Dakota State Board of Medical and Osteopathic Examiners
http://www.state.sd.us/doh/medical

Tennessee Department of Health
http://www.state.tn.us/health

Texas State Board of Medical Examiners
http://www.tsbme.state.tx.us

Utah Department of Commerce Div. of Occupational & Professional Licensure
http://www.dopl.utah.gov

Vermont Board of Medical Practice
http://www.healthyvermonters.info/bmp/bmp.shtml

Virginia Department of Health Professions
http://www.dhp.state.va.us

Washington State Medical Quality Assurance Commission
https://wws2.wa.gov/doh/hpqa-licensing/HPS5/Medical/default.htm

West Virginia Board of Medicine
http://www.wvdhhr.org/wvbom

Wisconsin Medical Examining Board Department of Regulation and Licensing
http://drl.wi.gov/index.htm

Wyoming Board of Medicine
http://wyomedboard.state.wy.us/roster.asp

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