Authorities and standards record
Each record preserves the issuing authority, jurisdiction, instrument or authority type, legal or operating status, version and application dates, affected audience, workflow mapping, source link, and interpretation boundary.
CMS PECOS
PECOS is CMS's online system for Medicare provider and supplier enrollment, revalidation, changes of information, reassignment, ownership and managing-control records, and related enrollment administration. It is not a credentialing or privileging system.
CMS MPIM Chapter 10
Chapter 10 documents Medicare provider and supplier enrollment processes, screening, application review, site visits, revalidation, ownership, revocation, deactivation, and contractor operations.
NPPES and NPI
NPPES enumerates healthcare providers and maintains NPI-associated public data. CMS explicitly states that NPI issuance does not ensure or validate licensure or credentialing and does not ensure Medicare enrollment.
CMS Medicare FFS Public Provider Enrollment data
The dataset publishes selected Medicare fee-for-service provider and supplier enrollment characteristics for public analysis, subject to its data dictionary, suppression, update cadence, and program scope.
CMS Hospital Governing Body Condition
The governing body is accountable for the hospital's conduct, appoints medical staff based on recommendations, and ensures criteria and procedures govern selection and appointment, subject to the full regulation.
CMS Hospital Medical Staff Condition
The condition addresses organized medical staff accountability, examination of credentials, recommendations on appointment, and periodic appraisal, within the complete regulatory and interpretive framework.
Medicaid Provider Screening and Enrollment
The cited provisions address enrollment, screening, and federal database checks for Medicaid providers, with implementation details and provider categories varying across programs and states.
NCQA 2026 CR/PN Standards
NCQA's credentialing and provider network standards support defined accreditation and certification programs. Public summaries do not reproduce the licensed standards or establish an organization's current status.
The Joint Commission PSV FAQ
The FAQ defines primary-source verification and explains that the accredited organization remains responsible for obtaining and verifying specified credentials under the applicable manual and setting.
NPDB Delegated Credentialing Guide
The guide explains how eligible organizations may use authorized agents and delegated credentialing arrangements for NPDB querying while preserving eligibility, authorization, confidentiality, and organizational responsibility.
OIG LEIE
OIG publishes exclusion information and monthly LEIE data. Name or identifier matching requires care, and the official program record and facts must be reviewed before an organization takes action.
URAC CVO Accreditation
URAC offers an accreditation program for credentials verification organizations. Current status, scope, effective period, and organization identity must be confirmed from URAC records.
CAQH Provider Data Portal
The portal supports provider profiles, attestations, documents, and data exchange used by participating organizations in credentialing and enrollment workflows. DataSpring is the current organization name; the CAQH portal name remains visible in the market.
How to read the library
Binding requirements, official guidance, technical standards, implementation guides, program rules, and authority data are not interchangeable. Each page names the source class and states what it can and cannot establish about an organization or product.