CPCS Fall 2026 Exam Questions with Verified
Correct Answers
NCQA - Attestation Verification Time Limit
180 calendar days
NCQA - Health Status
current, signed attestation from applicant regarding any reason for inability to perform the
essential functions of the position, with or without accommodation, and the lack of present
illegal drug use.
NCQA - Non-Physician Practitioners
independent relationship with the organization and provide care under the organization's
medical benefits must be credentialed.
NCQA - Credentialed Policies & Procedures
include other medical practitioners and other behavioral healthcare specialists - chiropractors,
midwife, licensed professional counselor, oral surgeons, osteopaths, podiatrists, NPs,
Addiction Medicine Specialist, Psychologists, Clinical Social works, Clinical Nurse
Specialist
Describe the type of sanctions, complaints, and other adverse events found that need to be
reviewed by Credentialing Committee or designated peer-review body after identified
occurrence.
NCQA - Applicant Identity
Includes fields to enter race, ethnicity and language, and a non-discrimination statement.
NCQA does not penalize the organization if practitioner does not provide the information.
, NCQA - Attestation Statement
Must attests to correctness and completeness of application. Signature can be faxed, scanned,
digital, electronic or photocopied. Attestations does not need to be received prior to the
organization conducting credentialing verifications and queries required for other elements.
NCQA - Attestation must be signed within
365 days (MCO) / 305 days (CVO) of the credentialing decision.
NCQA - CAQH
CAQH is a credentialing platform certified by NCQA that centralizes provider verification
data for payers and other organizations. Information can be updated electronically. NCQA
accepts the last attestation date generated by the system. It requires practitioners to update the
application every 120 calendar days.
NCQA - Board Certification
Verification of board certification meets the requirement for verification of education and
residency training. Must document expiration in file. Lifetime status must verify certification
is current. If expiration is not provided, it may be left blank. Must verify board cert at initial
and recredentialing.
NCQA - Board Certification Verification
ABMS, AOA/AMA, Confirmation from specialty board, and confirmation from State
licensing agency.
NCQA - Credentialing Items Verification Time Limit
180 days (MCO)/120 days (CVO) of decision
NCQA - Complaints
Correct Answers
NCQA - Attestation Verification Time Limit
180 calendar days
NCQA - Health Status
current, signed attestation from applicant regarding any reason for inability to perform the
essential functions of the position, with or without accommodation, and the lack of present
illegal drug use.
NCQA - Non-Physician Practitioners
independent relationship with the organization and provide care under the organization's
medical benefits must be credentialed.
NCQA - Credentialed Policies & Procedures
include other medical practitioners and other behavioral healthcare specialists - chiropractors,
midwife, licensed professional counselor, oral surgeons, osteopaths, podiatrists, NPs,
Addiction Medicine Specialist, Psychologists, Clinical Social works, Clinical Nurse
Specialist
Describe the type of sanctions, complaints, and other adverse events found that need to be
reviewed by Credentialing Committee or designated peer-review body after identified
occurrence.
NCQA - Applicant Identity
Includes fields to enter race, ethnicity and language, and a non-discrimination statement.
NCQA does not penalize the organization if practitioner does not provide the information.
, NCQA - Attestation Statement
Must attests to correctness and completeness of application. Signature can be faxed, scanned,
digital, electronic or photocopied. Attestations does not need to be received prior to the
organization conducting credentialing verifications and queries required for other elements.
NCQA - Attestation must be signed within
365 days (MCO) / 305 days (CVO) of the credentialing decision.
NCQA - CAQH
CAQH is a credentialing platform certified by NCQA that centralizes provider verification
data for payers and other organizations. Information can be updated electronically. NCQA
accepts the last attestation date generated by the system. It requires practitioners to update the
application every 120 calendar days.
NCQA - Board Certification
Verification of board certification meets the requirement for verification of education and
residency training. Must document expiration in file. Lifetime status must verify certification
is current. If expiration is not provided, it may be left blank. Must verify board cert at initial
and recredentialing.
NCQA - Board Certification Verification
ABMS, AOA/AMA, Confirmation from specialty board, and confirmation from State
licensing agency.
NCQA - Credentialing Items Verification Time Limit
180 days (MCO)/120 days (CVO) of decision
NCQA - Complaints
