2025 Credentialing Changes: What Healthcare Providers Need to Know
The biggest credentialing overhaul in decades just hit – here’s what it means for your organization
Healthcare credentialing just got a major makeover. The NCQA’s 2025 standards, which took effect July 1st, represent the most significant changes to provider verification requirements in years. If you’re still operating under the old rules, you’re already behind.
What Changed
The biggest shift? Speed and frequency. Organizations now have just 120 days to complete credentialing (down from 180), while Credentialing Verification Organizations (CVOs) get only 90 days. But that’s just the beginning.
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