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Navigating California’s New Rules for Credentialing and Provider Data

25 minutes

DMHC audits are increasing, and provider data is under the spotlight.

With increasing scrutiny on directory accuracy, demographic reporting, and gender identity documentation—alongside overlapping requirements from SB 137, NCQA, and CMS—compliance is becoming more complex and error-prone.
In this session, symplr’s regulatory and operations experts will provide a practical walkthrough of current enforcement priorities, upcoming changes, and strategies for reducing risk without adding manual work, including insights into DMHC’s 2025 audit focus, areas where SB 137, NCQA, and CMS intersect, and ways to better connect credentialing and directory data. This discussion also sets the stage for deeper conversations at the CAHP 2025 Annual Conference, where symplr will be onsite to support payers in navigating regulatory change.

Speakers

  • Jim Gifford

    Account Executive, symplr

  • Katie Ratliff

    Senior Solutions Consultant

  • Rohan Baishya

    Solution Executive, symplr

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