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ADDITIONAL REQUIREMENTS
If the applicant is accepted for participation in Bravo Health the following additional requirements will
apply:
1. The physician or allied health professional must continually maintain and comply with all Bravo
Health policies and procedures.
2. According to the Provider’s Contract, physicians or oral surgeons must notify Bravo Health in
writing within five (5) days of any changes in his or her status relative to the established credentials
criteria or any other matter that could potentially affect a continued contractual relationship with
Bravo Health, such as significant or prolonged illness, leave of absence, suspension or modification
of privileges, any change in physical or mental health status that affects practitioner’s ability to
practice or any other action that materially changes the practitioner’s ability to provide service to
Members.
3. A physician or oral surgeon who maintains more than one office after acceptance must have all
offices participate for the purpose of providing health care to patients.
4. If the relationship between the physician or oral surgeon and Bravo Health should be terminated at
any point for any reason other than a voluntary termination, a one-year period will elapse prior to
eligibility for reapplication. Upon reapplication, all the circumstances of the termination/resignation
must be revealed and will be considered.
INITIAL CREDENTIALING OFFICE SITE REVIEWS
1. Provider Relations staff shall conduct initial credentialing office site reviews using the Office Site
Evaluation Form.
2. The Office Site Evaluation Form is divided into the following sections:
a. Physical Appearance and Accessibility
b. Patient Safety and Risk Management
c. Medical Record Keeping and Storage
d. Appointment Availability
3. Each section of the Office Site Evaluation Form addresses a review topic with questions to be
answered “YES”, “NO”, or N/A (not applicable). Each answer is scored and scores are added to
generate an overall score for the office site.
4. Results of the office site review shall be reported directly to the reviewed office site. Objective
findings and recommendations for improvement of deficiencies shall be included in the report.
5. Any office site scoring below 80% will be given thirty (30) days in which to submit and ninety (90)
days to complete a corrective action plan for identified deficiencies. Upon completion of the
corrective action plan, a repeat office site review will be performed.
