According to NCQA, what verification must be included in an initial application?

The requirement for an active state license as part of an initial application according to the National Committee for Quality Assurance (NCQA) is crucial for several reasons. An active state license serves as the primary verification that a healthcare provider is legally authorized to practice their profession in the given state. This is essential for ensuring that the provider meets the minimum standards set forth by state regulatory boards, which include maintaining required education and training, adhering to professional conduct standards, and being up-to-date with any continuing education requirements.

The active state license must be current and valid at the time of application, and it serves as a foundational credential that supports the provider's qualifications. Without this verification, health plans cannot appropriately assess the suitability of a provider for their network, potentially compromising patient safety and care quality.

While previous employment verification, criminal background checks, and board certifications are also important aspects of credentialing processes, the active state license is the fundamental prerequisite that establishes a baseline capability for legal practice in the healthcare setting.