DEA or CDS Certificate (NAMSS Comparison)

Question 1

DEA / CDS CERTIFICATE: Before recommending privileges, the medical staff evaluates challenges to any licensure or registration.

a. ACHC (HFAP)
b. TJC (CAMH)
c. Medicare CoP

Answer 1

TJC (CAMH)

Question 2

DEA / CDS CERTIFICATE: CR 3 Element A Factor 2 DEA or CDS certificate must be verified in each state where the practitioner provides care to its members through one of the following: A copy of the DEA or CDS certificate; Documented visual inspection of the original certificate; Confirmation with the DEA or CDS agency; AMA Physician Masterfile (DEA only); Confirmation from the state pharmaceutical licensing agency where applicable; AOA Official Osteopathic Physician Profile Report or AOA Physician Masterfile. If the practitioner does not prescribe medications requiring DEA or CDS certificate, there must be a documented process to require an explanation as to why the practitioner does not prescribe medications. There must be arrangements for the practitioner’s patients who need prescriptions for medications requiring DEA or CDS certification. If the DEA is pending, the organization must document the practitioner’s lack of DEA or CDS and obtain the name of a designated alternate prescriber who may be an individual or a practice. Time limit: must be verified prior to the decision and valid and current at the time of the credentialing decision.

a. TJC (CAMH)
b. DNV (NIAHO)
c. NCQA

Answer 2

NCQA

Question 3

DEA / CDS CERTIFICATE: Applicant requests information regarding actions against DEA certificate or state CDS certificate

a. ACHC (HFAP)
b. NCQA
c. TJC (CAMH)

Answer 3

ACHC (HFAP)

Question 4

DEA / CDS CERTIFICATE: MS.6 SR.4b MS Initial appointment to the medical staff and granting of initial clinical privileges shall include: Primary Source Verification of current Federal Narcotics Registration Certificate (DEA) number (if required). SR 5 Primary Source verify DEA at reappointment (if required). MS.6 SR.11 Medical staff criteria for consideration of automatic suspension incudes when the practitioner’s DEA certificate has been revoked, suspended, or on probation for any reason.

a. Medicare CoP
b. URAC
c. DNV (NIAHO)

Answer 4

DNV (NIAHO)

Question 5

DEA / CDS CERTIFICATE: Credentialing application must include evidence of current DEA certificate or state controlled dangerous substance certificate, if applicable. The organization may either collect a copy of the DEA or CDS certificate or the certificate number. Time limit: obtained within 180 days of the credentialing decision.

a. ACHC (HFAP)
b. URAC
c. TJC (CAMH)

Answer 5

URAC

Question 6

DEA / CDS CERTIFICATE: If applicable, verify on an ongoing basis, at minimum, at expiration, appointment, and reappointment. Verify from primary or secondary source. The application includes information about federal actions or sanctions including DEA.

a. AAAHC
b. Medicare CoP
c. NCQA

Answer 6

AAAHC