Health Care Department Operations Manual

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Chapter 1 – Health Care Governance and Administration

Article 4.1 – Professional Workforce: Credentialing and Privileging

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1.4.1.1 Health Care Credentialing

  • Policy

    • The Division of Health Care Services (DHCS) and California Correctional Health Care Services (CCHCS) shall ensure patients receive health care services from properly licensed and/or credentialed health care providers. Health care providers whose positions or job descriptions by law or regulation require current licensure, certification, and credentialing shall be in compliance with all applicable federal and state requirements. DHCS/CCHCS shall verify all required health care provider licenses, certificates, and credentials with the primary source and document this verification upon hire and when credentials are renewed.

  • Purpose

    • To ensure compliance with all federal and state requirements regarding the credentialing of health care providers within DHCS/CCHCS.

  • Scope

    • Credentials for civil service and contract providers shall be approved on a statewide basis. Reappointment shall occur every three years.

  • Responsibility

    • The Deputy Directors of DHCS and Directors of CCHCS are responsible for the statewide planning, implementation, and evaluation of credentialing processes.

  • References

    • Plata Physician Professional Clinical Practice Review, Hearing and Privileging Procedures, Pursuant to Order Approving, With Modifications, Proposed Policies Regarding Physician Clinical Competency, July 9, 2008; Plata v. Newsom, et al., Federal Court Case No. C01-1351 published September 4, 2008, Court ordered procedures

    • California Business and Professions Code, Division 2, Chapter 1, Article 11, Section 800, et seq.

    • California Business and Professions Code, Division 2, Chapter 5, Article 12, Sections 2234 and 2261

    • California Evidence Code, Division 9, Chapter 3, Section 1157

    • California Health and Safety Code, Division 2, Chapter 2, Article 3, Section 1277

    • California Penal Code, Part 3, Title 7, Chapter 2, Section 5068.5

    • California Code of Regulations, Title 22

    • Health Care Department Operations Manual, Chapter 3, Article 3, Section 3.3.4.2, Licensure and Credentialing

    • California Department of Corrections and Rehabilitation, Mental Health Services Delivery System Program Guide, Chapter 1, Section G, Standard Program Staffing

    • Joint Commission, Human Resources Standards

    • Clinical Psychology Intern, CalHR Minimum Qualifications
      http://www.calhr.ca.gov/state-hr-professionals/pages/9283.aspx

    • Psychologist – Clinical, Correctional Facility, CalHR Minimum Qualifications
      http://www.calhr.ca.gov/state-hr-professionals/Pages/9252.aspx

    • Clinical Social Worker (Health Facility/Correctional Facility) – Safety, CalHR Minimum Qualifications http://www.calhr.ca.gov/state-hr-professionals/Pages/9877.aspx

  • Revision History

    • Effective: 12/2017

    • Revised: 05/05/2023