> News > Industry News > Are You Compliant with CMS 455 Pharmacy Disclosure and Credentialing Requirements?
NCPDP’s resQ™ Pharmacy Credentialing Resource can help reduce time and resources needed to achieve compliance.
The federal regulations set forth in the CMS Code of Federal Regulations (CFR), specifically 42 CFR 455.104, 455.105 and 455.106, require providers who are contracted with the Medicare/Medicaid agency and are entering into or renewing a provider agreement to disclose to managed care organizations:
- the identity of all owners with a controlling interest of 5% or greater;
- certain business transactions as described in 42 CFR 455.105 and;
- the identity of any excluded individual or entity with an ownership or controlling interest in the provider, the provider group, or disclosing entity who is an agent or managing employee of the provider group or entity.
NCPDP’s resQ is the industry’s single source-of-truth and standard for capturing and sharing self-reported pharmacy credentialing data and CFR 455 disclosure data. Created by the industry, resQ offers secure and current pharmacy information to streamline your credentialing efforts, reduce risk and comply with government regulations, improve network directories and expedite claims processing and adjudication.
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