Certified Provider Credentialing Specialist (CPCS) Practice Exam 2025 - Free CPCS Practice Questions and Study Guide

To enter into a delegated agreement according to the National Committee for Quality Assurance (NCQA), an organization must have credentialing policies in place. Credentialing policies are essential because they outline the processes and procedures involved in verifying the qualifications and competence of healthcare providers. These policies ensure that organizations adhere to established standards for evaluating the credentials of their practitioners, which is a critical component of maintaining quality care and safety in the healthcare setting.

Having robust credentialing policies demonstrates that the organization is committed to upholding the standards set by NCQA, which is vital for achieving and maintaining accreditation. This includes processes for verifying education, training, licensure, and any disciplinary history, which helps assure that only qualified providers are permitted to deliver care under the agreement. Thus, credentialing policies are foundational for organizations seeking to ensure compliance with NCQA standards in a delegated relationship.