Directory information must be verified at least every 90 days
What the document says“not less frequently than once every 90 days (or, in the case of a hospital or any other facility determined appropriate by the Secretary, at a lesser frequency specified by the Secretary but in no case less frequently than once every 12 months), verify the provider directory information of each provider listed in such directory and, if applicable, update such information;”
The new paragraph requires the organization to verify and, where needed, update each provider's directory information at least once every 90 days. For a hospital or other facility the Secretary finds appropriate, the Secretary may set a lower frequency, but never less often than once every 12 months.
What the document actually says“not less frequently than once every 90 days (or, in the case of a hospital or any other facility determined appropriate by the Secretary, at a lesser frequency specified by the Secretary but in no case less frequently than once every 12 months), verify the provider directory information of each provider listed in such directory and, if applicable, update such information;”
At least once every 90 days the plan must check each doctor on the list. For a hospital the health chief may allow a longer gap, but not more than a year.
Doctors move, retire, or leave a plan. A list goes stale fast. A set check keeps it close to true.
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