Maintaining Status as a Contracted Provider

To obtain and maintain status as a Peoples Health contracted provider, the provider must meet qualifications including but not limited to the following:

  • Have a current, valid, unrestricted Louisiana state medical or professional license or registration certificate(s) (there must not be any restrictions on the provider’s license to practice medicine)
  • Have a current, valid, unrestricted Drug Enforcement Agency certificate or current, valid, unrestricted Louisiana Controlled Dangerous Substance certificate if applicable
  • Meet accreditation standards*
  • Provide requested information, including but not limited to the following, for review by the Peoples Health credentialing department:
    • Peer references
    • Work history
    • Malpractice claims history
    • Proof of liability insurance coverage
  • Maintain status as a Medicare provider and not be on the Medicare Preclusion List
  • Adhere to Quality Improvement and Medical Management program requirements; refer to Section B.7 (Provider Office Quality Standards) for more information

*Refer to Section D.1 (NCQA: Current Accreditations and Standards) for more information.