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9. Practitioners must hold and maintain a current federal narcotics license. It must include all DEA
schedules that the physician prescribes. It is recommended that this license include all of the
following DEA Schedules: 2, 2N, 3, 3N, 4, and 5. Pathologists and diagnostic radiologists may be
exempted from this criterion.
10. Physicians must have and maintain malpractice insurance of at least $1,000,000 per incident and
$3,000,000 aggregate, or minimum amounts according to community standards
11. Physicians must meet Bravo Health standards for medical office certification and medical record
assessment (if applicable to their specialty).
12. Physicians must demonstrate professional growth and development through continuing education
demonstrated by obtaining 50 hours of Category I AMA recognized Continuing Medical Education
(CME) credits every two years. A current AMA Physician’s Recognition Award will satisfy this
criterion.
This requirement will be waived:
• In any year a physician becomes board certified or re-certified; or
• If the physician is in his/her first year of practice.
13. Allied Health practitioners must demonstrate professional growth and development through
continuing education units at the time of re-credentialing.
14. If any practitioner is indicted for a felony or a crime including moral turpitude, dishonesty or false
statement or other acts, that practitioner will be suspended and may be terminated if the outcome is a
conviction.
15. a. Physicians must exhibit understanding of and agree to Bravo Health policies relative to the
provision of health care services, including ancillary services and adherence to the HMO’s
utilization, cost containment and quality assessment policies.
b. Physicians must agree to cooperate with and/or respond to Bravo Health investigations of
Member complaints, quality activities and/or satisfaction surveys or samplings.
c. Physicians and Allied Health Professionals must agree to Bravo Health administrative protocols.
16. Physicians/Allied Health Practitioners must recognize that information from the National
Practitioner Data Bank (NPDB) and confirmation of the validity of the practitioners board
preparedness or certification, State License, Federal DEA Certificate and malpractice insurance
information must be forthcoming and will be considered prior to credentialing.
