The CAQH Form UCDS does not ask for information I need. Can I add additional questions?
Maybe. An HMO must demonstrate a need for additional information. Send DIFP a copy of the additional questions you want to ask and explain why you need to ask each one. Explain if any of the additional questions relate to NCQA standards. Be sure the questions you want to add aren’t simply another way of asking for information already stated in the CAQH Form UCDS. If DIFP approves the additional questions, they may be used as a credentialing supplement. If DIFP does not approve the additional questions, they may not be used in any form. Be sure they are not appearing in other documentation that you require providers to respond to. Otherwise, an HMO may request additional information to clarify responses obtained on the CAQH Form UCDS. However, HMOs may not routinely require additional information or information that duplicates information on the CAQH Form UCDS.
