EL PASO COUNTY CENTRALIZED CREDENTIALS VERIFICATION SERVICE
APPLY FOR PRIVILEGES
For almost 40 years, the El Paso County Medical Society CCVS has been a trusted resource for many health care organizations in Southern Colorado. Our reputation in the community is that of a reliable, efficient, helpful service that is a benefit not only to our clients, but also to the many physicians we serve.
For almost 40 years, the El Paso County Medical Society CCVS has been a trusted resource for many health care organizations in Southern Colorado. Our reputation in the community is that of a reliable, efficient, helpful service that is a benefit not only to our clients, but also to the many physicians we serve.
Through the cooperation of the health care entities in our community, one form combines application for hospital medical staff privileges and other health system facilities, and medical society membership. The CCVS allows you to apply for health care staff privileges, El Paso County Medical Society membership or Colorado Medical Society membership in any combination.
When relocating to our community, you submit one application packet to the El Paso County Medical Society Centralized Credentials Verification Service, and the CCVS, a credentials verification organization for southern Colorado, coordinates and processes your application for multiple entities.
It is CCVS’ goal to:
- gather required documents and verifications in the most expedient, efficient manner available while meeting Joint Commission and client requirements
- place the least administrative burden on you, the applicant
- offer a cost efficient resource for heath care organizations that will assist them in meeting hospital accreditation standards
Request an application for health care organization staff privileges:
Click here to request application materials and information
The Colorado Health Care Professional Credentials Application
Click here to download the application, Word or pdf.
The Colorado legislature mandated that all health care entities and health care plans use one form, the Colorado Health Care Professional Credentials Application, for the collection of credentialing information in the state of Colorado.
Click here to download the application, Word or pdf.
The Colorado legislature mandated that all health care entities and health care plans use one form, the Colorado Health Care Professional Credentials Application, for the collection of credentialing information in the state of Colorado.
The health care facilities in our community use this application for all initial applications and subsequent reappointments. All practitioners should maintain a master copy of this application as an electronic or paper file, for future credentialing events.
If you have previously completed the Colorado Health Care Professional Credentials Application for another entity, you may submit a copy of that application as long as it meets the following criteria:
- The information on the application is correct and current
- The application is signed and dated within a month of submission
If you would like additional information, copies of signature pages, or any other information about the application, please contact theresa@epcms.org.
Payment of fees:
Processing fees and consumer background report fees are payable at time of application. The applicant is required to pay both the processing and background report fees unless we are notified by a facility prior to beginning the application process that either or both of the fees will be paid by the facility. Facility payment (credentialing fee) is payable upon completion of the application.
Processing fees and consumer background report fees are payable at time of application. The applicant is required to pay both the processing and background report fees unless we are notified by a facility prior to beginning the application process that either or both of the fees will be paid by the facility. Facility payment (credentialing fee) is payable upon completion of the application.
When we receive your application:
Upon receipt of your completed application the CCVS collects initial information and sends a pre-application packet, if required by the organizations to which you are applying. After initial evaluation these facilities notify the CCVS if your application is accepted or declined.
Upon receipt of your completed application the CCVS collects initial information and sends a pre-application packet, if required by the organizations to which you are applying. After initial evaluation these facilities notify the CCVS if your application is accepted or declined.
CCVS does not credential:
CCVS takes responsibility only for collecting credentialing documentation in accordance with the individual agreements with each healthcare organization. CCVS in no way evaluates, credentials or assumes responsibility for conducting processes that may be required by a Health Care Organization (HCO) for approval, licensing or accreditation requirements or for the approval of medical staff membership or granting of privileges.
CCVS takes responsibility only for collecting credentialing documentation in accordance with the individual agreements with each healthcare organization. CCVS in no way evaluates, credentials or assumes responsibility for conducting processes that may be required by a Health Care Organization (HCO) for approval, licensing or accreditation requirements or for the approval of medical staff membership or granting of privileges.
POINTS TO REMEMBER IN SUBMITTING YOUR APPLICATION
We know completing the many forms and questions associated with credentialing can be an onerous task. We have made every effort to streamline this process for you. Working with the various facilities in our community, the CCVS eliminates duplicative materials wherever possible. However, both the CCVS and the health care entities we serve are required by standard setting organizations such as Joint Commission, AAAHC and NCQA to follow certain guidelines and request certain materials.
It is not necessary to submit duplicate copies of materials even if these items are requested multiple places in the application materials.
Some other points to keep in mind:
- The verification process cannot begin until we have received all forms from you.
- You must complete each field on the application form. If not applicable, write N/A.
- All training and practice will be verified with the primary source.
- Reference letters must be furnished on the forms we provide. We will contact your references and other individuals listed on your application with these forms.
- Be as accurate as possible in providing the address and contact information for health care affiliations, employers and references.
- Contact organizations and individuals to let them know you are undergoing credentialing and they can expect to be contacted by the El Paso County CCVS. Ask them to respond promptly when they receive our forms.
- Depending on the complexity of your practice history, generally it takes approximately 60 days to receive verification of all information necessary to complete the application.
- After completion it may take another one to two months for the various organizations to act on your application depending upon when your application is received in their credentialing cycle.
- Obtaining staff privileges can take a total of three to five months depending on a variety of factors.
- If you are interested in joining the staff of additional facilities, please notify our office with your application materials to avoid further time and expense. Verification materials are considered current based on each client’s accredidating organization and bylaws requirements.
- You will be required to explain gaps in training and practice history of more than 30 days, incomplete training, or change in medical school when applicable.
CCVS follows identification of elements, method of verification acquisition and source for verification in accordance with guidelines established by the CCVS Advisory Committee and The Joint Commission (TJC) and Accreditation Association of Ambulatory Health Care (AAAHC) requirements.
Some elements may not require verification due to health care practitioner type, application regulations, and/or client agreement specification. When an element does not require verification, the record is marked accordingly.
How long does it take?:
It is CCVS’ goal to complete each application within 50 calendar days of receipt of properly completed application and all materials.
It is CCVS’ goal to complete each application within 50 calendar days of receipt of properly completed application and all materials.
You may request that a file be expedited for an additional charge. If expedited, CCVS will begin the verification process within one working day of receipt of a properly completed application, and will see that the file receives top priority to assure that responses are received as quickly as possible.
The following timelines are followed in the processing files by the CCVS:
1st request within five working days of receipt of approval by client (1st request by next working day for expedited packet and follow-up as needed)
2nd request 21 working days from date of 1st request
3rd request 21 working days from date of 2nd request
If the required response is not received 21 days after the 3rd request is mailed, CCVS will notify the client and the applicant in writing of no response. It is then the applicant’s responsibility to obtain the information. CCVS will no longer pursue.
Discontinue verification process:
If client or applicant instructs CCVS to discontinue the process after verification requests have been sent, the client and the applicant will be notified in writing that the verification process has been discontinued. All materials received to that date and an invoice for payment in full will be delivered to the client with the notice. If additional materials are received, these will be forwarded to the client.
If client or applicant instructs CCVS to discontinue the process after verification requests have been sent, the client and the applicant will be notified in writing that the verification process has been discontinued. All materials received to that date and an invoice for payment in full will be delivered to the client with the notice. If additional materials are received, these will be forwarded to the client.
