All PlansAdministrativeMedium impact
PAP113 - Credentialing/Re-credentialing Standars for Practitioners - Updated NCQA requirements of 120 day time limit for signature and verifications.
Blue Cross of Idaho·ID·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated credentialing standards to align with NCQA requirements, establishing a 120-day maximum age limit for practitioner application information and verifications at time of review. This administrative change affects the credentialing timeline for all healthcare practitioners seeking network participation.
Action Required
Immediately: Providers undergoing credentialing or re-credentialing must ensure all application information, signatures, and verifications are no more than 120 days old at time of committee review. Update credentialing workflow to track application dates and refresh documentation that exceeds the 120-day limit to avoid processing delays or denials.