The credentialing and re-credentialing processes are significant elements of your health plan quality management program. The credentialing and re-credentialing processes serve to ensure that qualified professionals in your health plan provider network are capable of meeting the needs of those seeking and receiving services. Credentialing and re-credentialing is an ongoing evaluation process that ensures practitioners’ current competency by confirming individual practitioners’ training and ability in specific specialty areas. This level of review is designed to ensure that individual practitioners have demonstrated the necessary training, experience, qualifications, and ongoing competence for the services they deliver.