Provider Directory Overview
HCAS and our member health plans recognize that establishing a centralized process to collect and update provider directory information eases the burden providers face notifying each health plan separately of changes to directory information. Most HCAS health plans use CAQH to collect provider directory information one-time to reduce the administrative burden for providers.
Federal and State Directory Requirements
The federal government, individual states, and the National Committee for Quality Assurance (NCQA) each have established directory requirements to improve consumer access to provider information when seeking care. See this important announcement
that highlights some of the existing and new demographic information to be collected from providers.
Health Plan and Provider Responsibilities
- Health plans notify providers every 90 days to refresh their demographic information and update directories in a timely manner
- Providers review, update, and attest to their information in CAQH at least every 90 days, or when information has changed, to ensure accuracy
Important Note: Health plans can access provider demographic information in CAQH only if the provider has attested.
Collaborative Approach Benefits
- Enables providers to update their demographic information with multiple health plans in a streamlined manner
- Improves the experience for consumers who rely on accurate directories to select and contact providers when they need care
CAQH Login and Support
Additional Directory Resources
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