How many years back must license sanctions be reviewed for URAC, NCQA, and HFAP?

The correct answer of five years is aligned with the standards set by URAC, NCQA, and HFAP for reviewing license sanctions. These organizations set benchmark standards that dictate how far back an organization should look into a provider's history regarding any disciplinary actions or license sanctions. A five-year review period is considered adequate to ensure a comprehensive assessment of the provider's professional conduct, without being too burdensome on the reviewing process.

This timeframe allows for the identification of patterns in behavior that may impact patient safety or care quality, while also being reasonable enough for healthcare organizations to manage their credentialing and recredentialing processes efficiently. By focusing on a five-year history, these standards balance thorough investigation with operational feasibility, ensuring that providers are appropriately credentialed based on their most relevant and substantial professional history.