[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280178-105":53,"doc-detail-280178-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","competency-requirements-for-credentialing-recredentialing-of-physicians-and-osteopathic-physicians-cr-22","Competency Requirements for Credentialing - Recredentialing of Physicians and Osteopathic Physicians - CR-22","","Competency Requirements for Credentialing/Recredentialing sets policy CR-22 for the Plan’s responsibility to ensure physicians’ initial and ongoing competence for continued participation on the practitioner panel. It defines physicians as MD, DO, or equivalent recognized foreign degrees, and establishes that practitioners must demonstrate continued competence through board certification and maintenance or continuous certification programs. The policy outlines initial board certification submission steps and requirements for active pursuit, including lifelong learning, board review course completion, and Category 1 CME thresholds, plus documentation for alternative pathways and limited exceptions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/competency-requirements-for-credentialing-recredentialing-of-physicians-and-osteopathic-physicians-cr-22/280178/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/competency-requirements-for-credentialing-recredentialing-of-physicians-and-osteopathic-physicians-cr-22/280178.png","ImageObject",442,249,{"name":88,"@type":89},"Alex Sinclair","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-18","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of policy CR-22?","Question",{"text":109,"@type":110},"CR-22 requires the Plan to ensure the initial and ongoing competence of physicians as a condition of new and continued membership on its panel.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who qualifies as a “physician” under this policy?",{"text":114,"@type":110},"A physician is a practitioner of medicine licensed to practice medicine with a degree of doctor of medicine (MD), doctor of osteopathy (DO), or an equivalent foreign degree recognized by New York State.",{"name":116,"@type":107,"acceptedAnswer":117},"What continuing education and certification activities are required if proof of board certification cannot be provided?",{"text":118,"@type":110},"The physician must confirm active pursuit of board certification and provide evidence of lifelong learning and self-assessment, including registration for the next exam or completion of an eligible board review course within three years of approval, and at least 50 hours of Category 1 CME annually in the relevant specialty.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},280178,1790147066,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| SUBJECT: Competency Requirements for\u003Cbr>Credentialing/Recredentialing of Physicians and Osteopathic Physicians\u003Cbr>SECTION: CREDENTIALING\u003Cbr>POLICY NUMBER: CR-22 | EFFECTIVE DATE: 12/21 |\n| --- | --- |\n| Applies to all products administered by the Plan except when changed by contract |  |\n\nPolicy Statement: The Plan has a responsibility to its members to ensure, to the best ofits ability, the initial and ongoing competence of its physicians as condition of new and continued membership on the Plan’s panel. The Plan requires that all physician practitioners have the responsibility of being able to demonstrate continued competence as a condition of the continued membership on the Health Plan’s practitioner panel. Maintenance or Continuation of Certification seeks to assure a physician’s continuing competence in their chosen specialty through periodic evaluations. The Plan encourages physicians to continue those educational activities essential to maintain competence in their specialty.  \nThis policy applies only to physicians which, for the purposes of this policy, is defined as a practitioner of medicine licensed to practice medicine and having received a degree of doctor of medicine (MD), or doctor of osteopathy (DO), or an equivalent foreign degree recognized by New York State.  \nThe Plan requests that all physician practitioners, participating, or seeking participation status, with the Plan be board certified and maintain or continue their certification in their specialty and applicable sub-specialty; actively enrolled in the certification process by a Board; and/or enrolled in the applicable Maintenance Program (collectively,“Board Certification Requirement”) .  \nThe standard is largely based upon board certification and recertification by a member board of American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA), or Royal College of Physicians and Surgeons of Canada (RCPSC) (collectively,“Boards”), and their respective maintenance of competency processes, namely the American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC), the American Osteopathic Association Bureau of Osteopathic Specialists (AOA BOS) Osteopathic Continuous Certification (OCC), and the Royal College of Physicians and Surgeons of Canada (RCPSC) Physician Competency (CanMEDS) (collectively,“Maintenance Program”) .  \nThe Plan will consider requests from practitioners seeking an exception to Board Certification and may approve applications for credentialing/re-credentialing as set forth in this policy.  \nA. Initial Board Certification  \nProcess  \n1. Upon training completion from an accredited Internship, Residency and/or Fellowship Program, all physician practitioners shall submit proof of certification by a Board in their specialty and applicable subspecialty, active enrollment in a certification process by a Board, or enrollment in an applicable Maintenance Program.  \n2. All physicians eligible to sit for the board certification examination who are unable to provide proof as required at \\#1 above, will be required to provide confirmation of actively pursuing Board Certification and must provide all of the following:  \na) Is currently licensed and in good professional standing as set forth in the Plan’s Credentialing Policy CR-21 Disciplinary andNon-Disciplinary Actions Resulting in Restriction, Suspension or Revocation of License; and  \nb) Has a lifelong learning and self-assessment which includes:  \ni. registration for the next available board certification examination or  \nii. documented completion of a board review course, in their practicing specialty, recognized by a certifying board and offering AMA PRA or AOA-accredited Category 1 credits for its completion, within 3 years of initial credentialing or recredentialing approval; and  \niii. a minimum of fifty (50) hours of category 1 CME annually, in the specialty for which they are seeking participation.  \n3. Where the Plan is considering a physician’s ","cbCaioshPLBbdhJC","https://ap.wps.com/l/cbCaioshPLBbdhJC","pdf",124867,"English","# Credentialing\n## Policy scope and responsibility\n## Initial Board Certification - Process\n## Maintenance of Certification or Continuous Certification - Process","[{\"question\":\"What is the purpose of policy CR-22?\",\"answer\":\"CR-22 requires the Plan to ensure the initial and ongoing competence of physicians as a condition of new and continued membership on its panel.\"},{\"question\":\"Who qualifies as a “physician” under this policy?\",\"answer\":\"A physician is a practitioner of medicine licensed to practice medicine with a degree of doctor of medicine (MD), doctor of osteopathy (DO), or an equivalent foreign degree recognized by New York State.\"},{\"question\":\"What continuing education and certification activities are required if proof of board certification cannot be provided?\",\"answer\":\"The physician must confirm active pursuit of board certification and provide evidence of lifelong learning and self-assessment, including registration for the next exam or completion of an eligible board review course within three years of approval, and at least 50 hours of Category 1 CME annually in the relevant specialty.\"}]","Competency Requirements for Credentialing - Recredentialing of Physicians and Osteopathic Physicians - CR-22 | PDF",1789534698]