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Looking for more information to help you make the best decisions for your healthcare business? View our latest product information, market insights, webinars and best practices case studies learn more about the benefits of more efficient pharmacy credentialing data collection.

Featured resQ™ and Pharmacy Credentialing Resources

Product Info

resQ™ Product Sheet

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Program Integrity and CMS 42 CFR 455 Regulations

The following are links to CMS managed website.

www.medicaid.gov
www.cms.gov
Electronic Code of Federal Regulations (42 CFR 455)
 

Market Insights

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Have Questions About How resQ™ Works?




Get Access to Real-Time, Pharmacy Credentialing Data and Information

Want to learn more about resQ™ and what the industry’s single source-of-truth for pharmacy credentialing information offers your organization?

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The Centers for Medicare and Medicaid Services (CMS) mandates State Medicaid Agencies to validate/revalidate ALL of its Medicaid Providers’ enrollment every 5 years

Collecting and maintaining these requirements, designed to prevent provider fraud, waste and abuse, as well as improve patient safety may be delegated by the State to a PBM or payer network plan. Regulations also state that screening must be performed consistently and redundant screening is not conducted for a pharmacy provider who participates in multiple networks. resQ™ Pharmacy Credentialing Resource makes it easier for Medicaid organizations and payers to gather and comply with these regulations.

CMCS Informational Bulletin