GPCA staff works with FQHCs on how to follow credentialing verification standards set by the National Committee on Quality Assurance (NCQA) and the HRSA. In addition to application processing and primary source verification, the GPCA can assist FQHCs with monitoring expiring documents and licenses (DEA registration, insurance certificate, licenses). The GPCA obtains new documentation from providers as well as monitors the HHS Office of Inspector General Medicare/Medicaid, sanctioning reports and state licensing board disciplinary actions.
The GPCA will also assist FQHCs in the form of reviewing credentialing P&P, making any necessary updates, auditing credentialing files for accuracy and completeness. GPCA staff also participate in the file review portion of site visits, both virtually and in person.