CREDENTIALINGCURRENT

Follow the record. Separate the decisions. Keep the workforce ready.

United States hospitals participating in Medicare and Medicaid · U.S. federal regulation

42 CFR 482.22 — Condition of participation: Medical staff

The condition addresses organized medical staff accountability, examination of credentials, recommendations on appointment, and periodic appraisal, within the complete regulatory and interpretive framework.

What the authority record establishes

The condition addresses organized medical staff accountability, examination of credentials, recommendations on appointment, and periodic appraisal, within the complete regulatory and interpretive framework.

Binding federal condition of participation for affected hospitals

The exact official title, issuing body, jurisdiction, version or application record, and linked source define the scope of this page. Readers should not transfer the authority's status to a commercial product or infer transaction-, patient-, system-, site-, or organization-specific applicability from this summary.

Why it matters to this market

Buyers need systems that preserve evidence, recommendations, appraisal, and governance without turning administrative completion into an implied clinical-scope decision.

Affected operating stages

  • Credential Review
  • Appointment Recommendation
  • Periodic Appraisal
  • Reappointment
  • Medical Staff Governance

Capabilities to examine

Credentialing And Recredentialing Workflow

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for credentialing and recredentialing workflow.

Medical Staff Appointment And Committee Workflow

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for medical staff appointment and committee workflow.

Clinical Privileging And Privilege Libraries

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for clinical privileging and privilege libraries.

Audit Trail, Source Provenance, And Committee Evidence

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for audit trail, source provenance, and committee evidence.

OPPE, FPPE, And Peer-Review Linkage

Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for OPPE, FPPE, and peer-review linkage.

Affected buyer audiences

  • medical staff leaders
  • credentialing professionals
  • hospital executives and governing bodies
  • survey readiness teams
  • credentialing technology and service organizations

Implementation questions

  • Which entities, products, populations, transactions, systems, sites, or jurisdictions are actually within scope?
  • What is binding, what is guidance, and what is a technical or consensus standard?
  • Which publication, adoption, effective, application, transition, and enforcement dates differ?
  • Who owns legal, clinical, quality, regulatory, policy, or operational interpretation?
  • How will a source revision affect open work and historical decisions?

Interpretation boundary

The regulation must be read with current CMS guidance, accreditation pathways, state law, medical staff bylaws, and organization policy.