Medicare - Credentialing & Recredentialing |
Leave of Absence Policy (Practitioners only)
Leave of Absence Due to Illness, Injury or Family Medical Leave
1. Leave of Absence Less Than 30 Days — no notification or reapplication is required. Arrangements should be made for coverage by a participating ConnectiCare practitioner or locum tenens.
2. For Absence Greater Than 30 Days, Less Than 6 Months — written notification is required as soon as possible, but in no instance later than forty-five (45) days after the leave commences. Arrangements should be made for coverage by a participating ConnectiCare practitioner or locum tenens. Medical certification that the practitioner is able and competent to return to practice may be required upon return. If the recredentialing period has expired, recredentialing will be done at that time, and reapplication will not be required.
3. For Absence Greater Than 6 Months — written notification is required as soon as possible, but no later than forty-five (45) days after the leave commences. The practitioner may be terminated from the network until his/her return. Arrangements should be made for coverage by a participating ConnectiCare practitioner or locum tenens. Medical certification that the practitioner is able and competent to return to practice may be required upon return. Reapplication, using credentials policy in force at that time, will be required upon return to the practice.
Leave of Absence for Reasons Other Than Illness, Injury or Family Medical Leave
1. Leave of Absence Less Than Thirty (30) Days — no notification is required. Arrangements should be made for coverage by a participating ConnectiCare practitioner or locum tenens.
2. Leave of Absence Greater Than Thirty (30) Days — written notification is required as soon as possible, but no later than forty-five (45) days after leave commences. The practitioner may be terminated from the network until his/her return. Arrangements should be made for coverage by a participating ConnectiCare provider or locum tenens. Reapplication, using the credentials policy in force at that time, will be required upon return to the practice.
Note: Closing the practice for any reason and directing patients to an urgent care center or emergency department does not constitute coverage and is a breach of contract and grounds for termination. Also, failure to notify ConnectiCare as outlined above will be considered breach of contract and grounds for termination. Practitioners whose contracts are terminated under these circumstances will have the right to reapply under the rules and policies applicable at the time of his/her reapplication.
